ann flannery yoga
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    • About Yoga
    • Woodworking
  • Classes
    • weekly
    • video
    • Private
  • Retreats/Workshops
    • Yoga in the Yucatan
    • Woodworking for Women
  • Contact
  • Pricing

Registration Form

Registration Form

To secure your place in a class or workshop:

Call Ann (207-751-9589).

To register for a class:

Print and complete this form. 

Mail/bring your check, payable to Ann Flannery


How did you hear about Ann?

Family  Friend  Co-worker  Web  Phone  book



Flier (where?)___________________ Other__________________________



If you’ve registered before, please note any changes. Thank you.



Today’s date ________________________________________________________________________



Name ________________________________________________________________________________



Street address ________________________________________________________________________



City, State, Zip ________________________________________________________________________



Phone: home- _________________________________________________________________________

   

work- ________________________________________________________________________________

   

cell- ___________________________________________________________________________________

   

e-mail _________________________________________________________________________________

Class or workshop selection:

Day              Time               Class                 Instructor               #of Weeks               Cost (12 weeks $144/ $16 drop in)



________________________________________________________________________________________________________________________________



Informed consent and Waiver of Liability:

The practice of yoga includes physical exercise and a risk of injury. It is advisable to consult your physician before embarking on any exercise instruction. As professional level yoga instructors we are responsible for providing you with competent yoga instruction. We are not responsible for safety beyond providing competent instruction.  Your signature below releases Ann Flannery and any other instructors from any and all liability for injuries that are not directly and proximately caused by our professional negligence. I have read, understand and agree to the content of this professional Disclosure Form and Release.



Signature______________________________________________________________________________Date______________________________________________
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  • Home
    • About Ann
    • About Yoga
    • Woodworking
  • Classes
    • weekly
    • video
    • Private
  • Retreats/Workshops
    • Yoga in the Yucatan
    • Woodworking for Women
  • Contact
  • Pricing