B O D Y S C A P E S Acupuncture
Online Registration Form
Please complete the following form and click the
button at the bottom left
Registration is not complete until payment has been received.
If paying by check, make it out to
and mail to Bodyscapes, 3235 Vollmer Rd. Flossmoor, IL 60422.
All types of payments must be received on or before the early bird discount date if you wish to receive the discount.
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Street Address, City, State, Zip code
How did you hear about this class?
Check the classes you are signing up for
Sunday Morning Yoga (Sunday 9:30-10:45am) 8 classes
Beginning Belly Dance (Monday 6:30-7:30pm) 8 classes
Intermediate Advanced Belly Dance (Monday 7:45-8:45pm) 8 classes
Free Trial Class
Cash (in person only)
Payment is due in full on or before the first day of class. Registration is not complete until payment has been received. Registration is on a first come first serve basis. Register ASAP to reserve your spot. Checks are payable to Bodyscapes, Inc. There are no refunds granted unless a class is cancelled. For checks that are retuned for insufficient funds, a charge of $25 will be assessed. Missed classes can not be made up in subsequent sessions. No exceptions. Classes begin on time.
Signature and Waiver
By checking this box I certify that the above named student is in good health and capable of participating in classes. I hereby release Bodyscapes and its representatives from all liability for personal injury, illness, or property loss or damage.
3235 Vollmer Rd. Suite 204
Flossmoor, IL 60422
Tuesday - Friday: 9:00am-7:00pm
Sunday & Monday: Classes
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