Registration Form for Julie Lawrence Yoga Center Classes and Workshops

Fill out this form, print the page, and send it to JLYC with your payment.

Name
Address
City, State, & Zip
Phone
 (H) (W)
E-Mail
Class or Workshop
(Level/Day/Time/Instructor)
First-time Student 
Where did you hear about us?
You will not receive a confirmation. We will call you only if the class for which you are registering is full.

I enclose:

a $25 nonrefundable, nontransferable deposit for each class or workshop

or . . .

payment in full
contribution to JLYC scholarship fund $
      Contributions are not tax deductible.
Total amount enclosed: $

Julie Lawrence Yoga Center
1020 SW Taylor St., Suite 780
Portland, OR 97205
503.227.5524