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Name:_______________________________________________________________________________
Address:______________________________________________________________________________
Phone: Home:_____________________ Work: _____________________ Cell: ____________________
I am registering for the CIRCLE ONE class, in the Studio / on Zoom. CIRCLE ONE The second or third class that I desire to take is CIRCLE ONE OR TWO. PLEASE MAKE CHECKS PAYABLE TO HILLARY BLACKTON. Print this page and return the form with your check:
Call Hillary Blackton at 301-924-5164 or email hillary@divinelifeyoga.com if you have any questions.
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