Registration Form
( You can use this form to register for one, or more events using a check)
- · Please make checks payable to Holistic Movement Center and mail it to the address above.
- · Cancellation fee is 50% of total amount. Absolutely no refunds will be made on cancellations less than 5 days prior to event unless you find someone to replace you. If you cancel but find someone to take your space, you will receive full refund. There will be no refund for partially attended events or class series.
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- PLEASE PRINT
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- Today’s Date: _____________
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- Name of Event: _______________________________________________________________
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- Your Name: __________________________________Your Phone: _____________________
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- Your Address: ___________________________________State_____ Zip_________________
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- If multiple sessions, which sessions are you participating in - please list. Write “All” if you are going to participate in all sessions of that event. You can use this form to register for multiple events.
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- _____________________________________________________________________________
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- _____________________________________________________________________________
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- Total number of persons attending: ________ . I am enclosing a check for the amount of ___________
Names of Person (s) attending with you: _______________________________________________
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- You will receive a confirmation of your Registration by mail or phone.
- Thank you for your participation. Please give us a call if you have any questions.