Yoga Online Class Registration Form Sep 192012 Name Address Phone Email Venue Ardboyne Hotel Kenpo Karate Academy Trim Evening Kenpo Karate Academy Trim Morning The Crea Centre Where did you hear about Swan Lane Yoga? Flyer Website Facebook Focus Friend Other* *Please Specify In the future we will be providing our students and clients with information about our classes and services including special offers. Would you like to receive these? Yes No By pressing submit you agree to the following: I agree for my own safety to inform my yoga teacher immediately of any changes should they appear in the above information, or if any medical, physical or emotional problems arises which may affect my yoga practice. Submit If you are human, leave this field blank.