Your Name: *


Gender:
Please Select Female Male

Your Email: *


Telephone: *


Address:


Yoga Event: *
Please select event... 12-14 February 2010 :: Yoga Weekend with Marion Kilburn 5-7 March 2010 :: Yoga Weekend with Margaret Rawlinson 2-5 April 2010 :: Easter yoga Workshop with Cathy Rogers Evans 30 April - 2 May 2010 :: Yoga Weekend with Julie Brown 4-7 June 2010 :: Yoga Weekend with Judith Richards 9-11 July 2010 :: Yoga Weekend with Susanne Sturton 20-22 August 2010 :: Yoga Weekend with Sallie Sullivan 17-19 September 2010 :: Yoga Weekend with Eileen Cameron 22-25 October 2010 :: Yoga Weekend with Jayne Orton

Yoga experience:


Medical info
please highlight if you have a medical condition, a particular injury or have had a recent operation.


Accommodation *
Twin room sharing
Double room sharing
Triple room sharing
Double Room Single Occupancy (limited availability - €50 supplement)

Flight details (if relevant)


If you have any special dietary requirements please provide details...


Payment: *
Cheque
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Money Order/Bank Draft