Yoga Fall Weekend Retreat

Friday 23rd – Sunday 25th September 2011

In the Heart of Prince Edward County

Just 2.5 hours drive east of Toronto

Led by Lululemon’s Oakville Ambassador Denise Pala and

Melinda Clarke, CYT – Restorative and Meditation

Two Top Yoga Instructors = One Great Weekend

To learn more click there => Yoga Fall Weekend Retreat

REGISTRATION FORM

Weekend Yoga Retreat in

Prince Edward County

with Denise and Melinda

Friday 23^rd– Sunday 25^th September 2011

• Completed registration form and deposit cheque for $120 received BEFORE September 1 - remaining “Early Bird” balance of $215 will be due by 9^th Sept on 9^th 2011
• Completed registration form and deposit cheque for $120 received after September 1 2011 – remaining balance of $230 will be due by 9^th Sept 2011
• All taxes included
• Cheques made payable to “P.Girling”

Name:

Mailing address:

E-mail address:

Home phone:

Work phone:

Emergency contact number:

Have you done Yoga before?

What type?

What level?

Do you have any special dietary needs?

Do you want a specific roommate? If so please indicate their name(s).

Would you like to car pool?                      Y                            N           (please circle one)

Please mail completed form together with deposit to :

Pauline Girling, 100 Lakeshore Road #803, Oakville L6J 6M9

Email: paulinegirling@hotmail.com

Tel: 905 844 9298

or Drop off in person to Melinda or Denise at the Flying Monkey Yoga Studio

Please leave a comment below if you are able to attend.

Thank you in advance Denise and Melinda.

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