REGISTRATION FORM FOR INTEGRATIVE PILATES AND YOGILATES® TEACHER TRAINING

One form per person. Please make photocopies as necessary. Please print or type.
1) Participant Information
Name __________________________________________________

Street address: _______________________________________________Unit # _____

City ______________________________________________ State ________________  

Zip _________________________ Country ____________

Contact Phone (       )______ - ____________   Email ________________________________________

  YES, I would like to sign up for the Yogilates Teacher Training Course, Part I & II of which is to occur on December 2-5, 2010 and is to be held at Carmen Sanchez Studio, 939 Eighth Ave, Suite 200, New York, NY 10019.
 
2) Registration Fees
 Early bird sign up discount before Nov. 15th, 2010 (save  $100)              $800
 Sign up after Nov. 15th                  $900 
Deposit of 50% fee required to guarantee spot. Full payment required by Nov. 25th. Complete refunds for whatever reason provided up to November 29th. Partial refunds minus administration fee of $100, provided between November 30-Dec. 1st. No refunds are allowed after course starts.

3) Method of Payment
Check / Money Order (payable to Integrative Fitness LLC.) check# ________ Total amt. $ _______

Credit Card  VISA   MasterCard    American Express    Discover

Cardholder's Signature ________________________________________________________

Print Cardholder's Name ______________________________________________________

Credit Card Number _____________________________________     Exp. Date (month/year)____/____ CVV ____

Deliver this registration form to:
Mail:  Yogilates Integrative Fitness    Email: This e-mail address is being protected from spambots. You need JavaScript enabled to view it
64 N. Greenbush Rd.
West Nyack, NY 10994

NOTE: You will receive an email confirmation of your registration along with course participation instructions. Housing and meals are the responsibility of the participant. If you need to cancel your registration, please notify us as soon as possible to receive full refund.

To review course pre-requisites, text and/or video references, and additional course information, please visit www.yogilates.com and click on Workshops/Teacher Training and then Course Descriptions. You may also call us toll-free (877)964-4528 or email us at This e-mail address is being protected from spambots. You need JavaScript enabled to view it if you have any other questions.