AJARN CHAI – YOUTH SPACES

3/29 & 3/30/2014


How did you hear about the seminar?:

First Name
Last Name
Date of Birth
Email (required)
Phone # (required)

Street
City
State (abbreviation; PA, NY, OH, etc.)
Zip Code
Gym/Instructor’s Name

SUNDAY 10:30-1PM: $50
SUNDAY 2PM-4:30PM: $50
SUNDAY BOTH SESSIONS $75

Which Session(s)?: (required)

**NO Refunds unless Seminar is Canceled**

Additional Comments: