Judith Valerie Registration

Please Register Using This Online Form. After submitting this form you will have the option to complete your registration by paying using PayPal, or if you prefer you can pay by mailing a check. Pre-registration is essential as classes fill quickly. Your payment holds your place.

* First Name

* Last Name

Day Phone

Evening Phone

* Email Address

Are you a New or Returning student?

Returning

New

* May we add your name to our mailing list for occassional notices?

Already on the list

Yes, please add my name

No thanks.

* Please select which class (es) you wish to register for:

Gentle Yoga Level I - Monday 7:30pm 01/05 -03/02 at Friends Meeting House taught by Judith Valerie

Gentle Yoga Level I - Tuesday 6:00pm 01/06 -03/03 at Temple Beth Or taught by Judith Valerie

FULL Gentle Yoga Level I - Wednesday 9:30am 01/07 -03/04 at Friends Meeting House taught by Judith Valerie

Gentle Yoga Level I - Thursday 6:00pm 01/08 -03/05 at Friends Meeting House taught by Julee Snyder

More Yoga Level II - Monday 5:30pm 01/05 -03/02 at Friends Meeting House taught by Judith Valerie

More Yoga Level II - Wednesday Women's Class 5:30pm 01/07 -03/04 at Temple Beth Or taught by Judith Valerie

More Yoga Level II - Wednesday 7:30pm 01/07 -03/04 at Temple Beth Or taught by Judith Valerie

New Year, New You Workshop, Set & Celebrate Sankalpa January 31

Yoga Chakra Experiential Workshop Frebruary 28

*

REFUND POLICY: A refund, less $20, is available until 3 days before first class; less $25 until second class. No refunds thereafter, and no credit carried forward to next session.
I have read and agree to the refund policy.

Agree

Disagree

If you are paying with a check please secure your online registration by mailing a check to:

Judith Valerie
4219 The Oaks Drive
Raleigh, NC 27606

If you would like to add a few dollars for the scholarship fund please add it to your check.
If you have any questions call Judith at (919) 803-3191.

* How will you pay for the class? Your registration in a class is only confirmed when your payment is received.

I will mail a check.

PayPal

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