Pilates/Yoga
Enrolment Card
(Please write in BLOCK CAPITALS)
Call prior to sending registration form to confirm if there is availability in your desired class.
Print form and return with full payment or €30 deposit balance due on first day (before commencement of classes) to:
DEIRDRE
SOUCHERE
35 Orpen Rise, Stillorgan Grove, Stillorgan, Co Dublin
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Name: |
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| Address: | |||||
| Telephone: | |||||
| Mobile: | |||||
| Email: | |||||
| Please indicate which class you are attending | Pilates
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Yoga Day and time of class________________ |
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| Start Date: | |||||
| Method
of payment: Cash |
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Medical Screening
- Confidential.
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| Signed: | Date: | ||||