REGISTRATION FORM

Chakra Yoga with Connie Habash, November 10^th, 2007

Please register _____ person(s) for the Chakra Yoga workshop on Sat, Nov 10^th from 1:30-4:30pm!!!

Name(s)__________________________________________________

Email ____________________________________________________

Address___________________________________________________

City_________________________________________Zip___________

Phone_____________________________________________________

Amount enclosed: __________ ($40 if registered by Nov 3rd, $50 thereafter)

Make checks payable to Bare Yoga and mail to:

Bare Yoga,   227C North Santa Cruz Ave,   Los Gatos, CA 95030