Workshop Registration Form Name: E-mail: Phone: Address: How did you find out about this Workshop? Workshop Title: Workshop Date: Workshop Time: Workshop Location: Date of Registration: Registration Fee: Do you have any prior experience with yoga? None Occasional Monthly Daily Payment: Check Cash Paypal Receipt Requested? Yes No Please make checks payable to: Waves of Calm Counseling & Wellness, PLLC. Payment may also be made online through Paypal. Please note that registrations cannot be processed without payment (post-dated checks are acceptable) andregistrations must be received by the “early” registration fee date for discounted price. Any fees incurred for returned checks will be your responsibility. All attendees must complete and return the Waiver of Liability andDisclosure form prior to workshop date. Workshop registration fees are non-refundable. Classes or Workshops may be made up at the next workshop date/offering if and when space permits. I understand and agree to the conditions as set out above. Signature: Date: **All fields must be completed in order to successfully submit this form