Services of Yoga Center

(just the cost of the activity including meal)

PLEASE FILL IN THE FORM BELOW

Name of the applicant:

First Name

Last Name

Age of the applicant:

Date of birth of the applicant:

Gender:

Street Address:

Home phone number:

Mobile phone number:

How did you hear about us?

Email Address

Contact number of person in case of emergency:

Yoga class type (check one):

Individual - $300.00

Group (numbers of participants 2 to unlimited) - $300.00 for each

Student - $150.00 (discounted)

Prior Yoga Experience:

Mode of Payment:

Signature of Applicant:

Date of Application

YYYY

Payment Memo

Check or money order should be made payable to GEOKC. Please write Services of Yoga Center on check at the left bottom (memo line). The payment is not Tax Deductible as it’s not charging any additional amount compare to expected amount.

Schedule: Every Tuesday 6:00 PM to 8:00 PM

Please arrive half hour early to complete the application process. You can also fill out this form and mail with the payment prior to start the yoga class. GEOKC mailing address is as follows:

Global Expansion of Krishna Community 727 5th Ave. S. # 204 - Minneapolis, MN 55415

Jai Shri Krishna

Global Expansion of Krishna Community

727 5th Ave. S. Studio # 204
Minneapolis, MN 55415
612-540-9651

www.geokc-mn.org

batheja.sunita@gmail.com