Registration Form

[Print out this form, complete, and send to our address below with your deposit.]

Students of all levels are welcome. A non-refundable $200 deposit per person is due upon registration; the balance of which is due by December 28^th, 2007. Please make sure you have vacation insurance in case any unforseen possibility of cancellation.

Casa Lalita, Peurto Morelos

NAME: ___________________________________________

ADDRESS: ________________________________________

_________________________________________________

CITY/STATE: _____________________ ZIP: ___________

PHONE (day): ________________ (eve) _______________

AMOUNT ENCLOSED: ____________________________

For further information call:
      Amanda McMaine (859)624-0413

Mail Registration to:
      Amanda McMaine
      A Winter Yoga Retreat in Paradise
      154 Redwood Drive
      Richmond, KY 40475

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