Yoga in Mexico

Name

Address

Phone (daytime)

Phone (evening)

Email

Type of room desired:

Single
Double

If double, who is your roommate?

Enclosed is:

$ 250 non-refundable deposit per room to hold my place.
$ payment in full.

(Please make checks payable to Ann Newsmith.)

Any physical limitations:

Any dietary restrictions/requests:

Have you done yoga previously?

Yes
No

Any other information

Questions?

Contact Ann Newsmith: 802.257.4710 | ann.newsmith@gmail.com

Contact Thea Lloyd: 802.257.8519 | tlloyd@sover.net