Registration Form

Full Name:

Contact Information:

E-mail:

Phone:

Class registering for:

Questions & Comments:

Please, send the payment to or drop it at:

Yoga with Romi

620 Euclid Ave., Suite 101

Lexington, KY 40502

The check or money order should be payable to Romana Kalova or Yoga with Romi. When choosing to pay in advance, please consider the time for the payment to arrive at least 48 hours prior the event or as stated in the description of the event.

* Please, note the cancellation policy: For cancellations more than 48 hours prior to the event credit can be applied towards any future event. No credits and refunds for cancellations less than 48 hours prior to the event are possible. Please, check the cancelation policy for yoga retreats as it may be different.

620 Euclid Ave., Suite 101

Lexington, KY 40502

859-333-0183

info@yogawithromi.com

Method of Payment:

Please, choose from the following events***2012***Full Moon Restorative Yoga-June 5Chakra Healing Series - May 21-July 2Series for Beginning Student-May 24-June 28  Yoga Nidra and Chakra Meditations-April 29 (has been filled, waiting list only)                                                              

Please, choose from the following optionsPay in advance to secure the space (check or cash only)Pay the day of event (check or cash only)N/A (free classes)