Registration Form for BETSY'S WORKSHOPS
Please fill out on screen, print and mail to:
MINNEAPOLIS YOGA WORKSHOP
ATTN: Betsy Ricker
2637 27th Ave. S., Suite 207 • Minneapolis, MN 55406
(612) 253-5115 • betsyyoga@earthlink.net
Name:
Phone:
E-mail:
Street Address:
City:

Zip:

Workshops:

Amt. Enclosed: $
Check #

 

Make checks payable to Betsy Ricker .

Previous Yoga Instruction:

What, if any, tradition/lineage/method have you studied?

When?

Where?

With Whom?

Do you have any physical needs or limitations we should be aware of?
Are you using any medications?

This yoga program is for people who are in good health and who are physically fit. The exercises in this class are not for everyone and you should not strain in any of the poses. It is not intended that these exercises be used therapeutically or as a substitute for medical services. Consult your physician before beginning this exercise program.

The Minneapolis Yoga Workshop and Betsy Ricker are not responsible for any liability, injury or loss arising from the exercises and instructions in these yoga classes.

Signature ___________________________________ Date _____________

 

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