Eldorado Yoga Six Week Registration Form

Name

Phone (daytime)
(Evening)
Address

City

State

Zip Code

Email

Emergency Contact
Name Phone #

Six week class for you which you are registering?

Beginning date

Additional Participant

Number of Participants

Name
Phone
Email
Emergency Contact

To complete your registration online you may pay with Mastercard or Visa
by filling out the application below. You may also send a check in the
mail to Eldorado Mountain Yoga Ashram, P.O. Box 307, Eldorado Springs,
CO 80025, attn: class registration. However, we can not guarantee your
place in the class until the check is received.

PAYMENT METHOD

I prefer to pay by charge card.
I prefer to pay by check.

Name on credit card
Billing address *If different than above
City State Zip Code
Country
Card Type Visa Mastercard
Card Number
Expiration Date
Dollar amount for class

I prefer to pay by check, and will mail it to Eldorado Mountain Yoga Ashram,
P.O. Box 307, Eldorado Springs, CO 80025, attn: class registration. (Note:
your place in the class can not be confirmed until after the check is
received

*Your credit card will not be billed until you have been accepted into the program.

Optional

1. What inspired you to sign up for this class or what results would you like from this class?

2. Do you have any previous experience with Hatha Yoga? If so please describe.

3. Do you have any injuries or physical limitations you'd like to let us know about? If so please describe.

4.How did you hear about us?

POLICY FOR MAKE-UP CLASSES
If you miss a class, you may attend any Hatha Yoga Drop-In class
free. This offer applies for up to two missed classes during a given six-week
class session. See instructor for details.

CLASS REGISTRATION CONFIRMATION
Class size is limited. We make every effort to accommodate everyone who
registers, but due to limited class size your place in a class will not
be confirmed until your payment is received and we have sent you a
confirmation by email.
Please call us at (303) 494-3051 if you have any further questions. Thank
you very much for choosing to take a class with us.
Namaste,
The Shambhava School of Yoga at Eldorado Mountain Yoga Ashram.

PRIVACY STATEMENT
At Eldorado Mountain Yoga Ashram, we are dedicated to protecting your privacy
and handling your information in a secure and confidential manner. We know
that having trust and confidence is important to you. We value the trust
you have placed in us to protect your information.

(303) 494-3051 Email: info@eldoradoyoga.org

Eldorado Mountain Yoga Ashram 6-Week Class Registration Form

Eldorado Mountain Yoga Ashram
6-Week Class Registration Form