Unity Yoga - Registration Late Fall

Name ________________________________________________________________
Address ________________________________ Town _______________ Zip ______
Home Phone ______________ Cell Phone ______________ E-mail ______________

Please circle the Letter of the Class(es) you are registering for:

Late Fall Session: Monday, October 27 – Saturday, December 20 eight week session (no classes during Thanksgiving holiday).

	code	day	name	time	staff	fee	# of classes

	A	Monday	Level I	9:15 a.m.-10:30 a.m.	Cynthia	$112	8

	B	Monday	Level II	10:45 a.m.-12:00 noon	Cynthia	$112	8

	C	Monday	Level I	6:45 p.m.-8:00 p.m.	Mary	$112	8

	D	Monday	All Levels	8:05 p.m.-9:20 p.m.	Mary	$112	8

	E	Tuesday	Gentle	10:30 a.m.-11:45 a.m.	Cynthia	$112	8

	F	Tuesday	Active Back Care	6:45 p.m.-8:00 p.m.	Cynthia	$112	8

	G	Wednesday	Level II	7:00 a.m.-8:15 a.m.	Cynthia	$112	8

	H	Thursday	Level II	6:45 p.m.-8:00 p.m.	Mary	$98	7

	I	Thursday	Level I	8:05 p.m.-9:20 p.m.	Mary	$98	7

	J	Friday	Level I	9:15 a.m.-10:30 a.m.	Cynthia	$98	7

	K	Friday	Healthy Bones	10:45 a.m.-12:00 Noon	Cynthia	$98	7

	L	Saturday	All Levels	8:00 a.m.-9:15 a.m.	Penny	$98	7

For two classes per week, please call Cynthia at 908-233-9697.

Make out check to UNITY YOGA.
Mail to: 1349 Outlook Drive, Mountainside, N.J. 07092
Known physical limitations _________________________________________________________
Please check if applicable:
I have: Osteoporsis: ___ back ___ hips Osteopenia: ___ back ___ hips
I hereby stipulate that I am physically sound to proceed in Yoga. It is further agreed all lessons shall be
taken at my own risk and that neither Unity Yoga nor First Congregational Church shall be held liable for
injuries or damages to my person or property arising out of or connected with the service or facilities of
Unity Yoga or the premises on which they are located.

Amount enclosed: ________ Signature _________________________________________________