Judith Valerie Registration

Please Register Using This Online Form. After submitting this form you will have the option to complete your registration by mailing a check. If you prefer to pay with PayPal please click here. 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

* REFUND POLICY: A refund, less $15 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.

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

Gentle Yoga Level I - Monday 7:30pm starts 04/05/10 at Friends Meeting House taught by Judith Valerie

Gentle Yoga Level I - Tuesday 6:00pm starts 04/06/10 at Temple Beth Or taught by Judith Valerie

Gentle Yoga Level I - Wednesday 9:30am starts 04/07/10 at Friends Meeting House taught by Judith Valerie

Gentle Yoga Level I - Thursday 6:00pm starts 04/08/10 at Friends Meeting House taught by Claire McCullogh

More Yoga Level II (women only) - Monday 5:30pm starts 04/05/10 at Friends Meeting House taught by Judith Valerie

More Yoga Level II - Wednesday Women's Class 5:30pm starts 04/07/10 at Temple Beth Or taught by Judith Valerie

More Yoga Level II - Wednesday 7:30pm starts 04/07/10 at Temple Beth Or taught by Judith Valerie

Paying by check:
Please select which you wish to register for:

8 week course 4/5 - 5/27 costs 106.00.

* Indicates Response Required