pure yoga studio is located in Davie, Florida

pure yoga studio

Send Payments to:

P.O. Box 550226
Davie, Florida 33355
954-473-8929 (studio)
954-816-4803 (cell)

Vrksasana

Pure Yoga Studio Class Registration Form

(*Indicates Required Fields)

Registration Information
First Name *
Last Name *
Address *
City *
State *
Zip Code *
Telephone *
Email *
	Your email will be used only to be notified of schedule changes, series expirations, renewals, events, and specials.

Emergency Contact Information
Contact's Full Name
Relationship
Phone

Location (Please check one)
Davie/Plantation Sunrise/All Peoples Synagogue Weston Boca Raton/Kabbalah Center

How Did You Find Out About Us? (Please check one)
Internet:Google Yellow Pages.com Yoga Alliance
Brochure/Whole Foods Yellow Pages Phone Book Post Card
Friend (Name Please)

Interests (Please check all that apply)
Workshops Tai Chi Kirtan Meditation Retreats
Charity/Giving Kabbalah Organic Lifestyle
NOTE: Please consult your physician before starting this or any other exercise program. Inform your instructor of any physical or mental conditions which may affect your abitlity to perform.
Please print out and read the 'Agreement Of Release And Waiver Of Liability' document before submitting this form. Click here to read and print the agreement. (*Required) I warrant I have read and agree to all of the terms and conditions contained in the 'Agreement Of Release And Waiver Of Liability' for myself or, if registering a student (under 18) for Pure Yoga Kids, as the parent/legal guardian.