1. Please fill out the following form
2. Print it out
3. Send payment to: Susan Mann, 12645 Travilah Road, Potomac, MD   20854

Please indicate the session(s) you would like to attend:

E-mail:
Thursday Morning Classes w/Susan Mann
	8:00-9:25am (Level II and III) July 9, 16, 30 & August 13, 20, 27 6 week session - Cost: $120
Thursday Morning Classes w/Susan Mann
	9:45-11:00am (Beginners & Level I) July 9, 16, 30 & August 13, 20, 27 6 week session - Cost: $120
Saturday Workshop
	10:30-12:30am (Twists Workshop) June 13 Cost: $40
Saturday Workshop
	10:30-12:30am (Backbends: Baby to Bold) July 18 Cost: $40
$35 will hold your place, remainder due at or before first class. Please note your class on your check.
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Name:
Day Phone:
Address:
Evening Phone:
Age:
Occupation:
Other yoga experience (teacher):
Any physical disabilities or Neck, Back, or Knee injuries:
Types of exercise (walking, weights, kick boxing, etc.):