Please
fill in the yellow section of the form, print and mail it with your
registration fee to the mailing address below.
Body Balance
and Beyond Inc.
Registration Form
Complete Scoliosis Program (CSP)
Name:
Address:
City:
State:
Zip:
Phone:
E-mail:
Course
name:
Please make check payable to Body Balance and Beyond Inc.
Confirmations and Cancellations:
Confirmations of registration will be sent
via e-mail or a postcard will be mailed after successful collection of funds.
Cancellation must be received at least five days prior to the course beginning
for refunds less a $50 administration fee. No refund will be given for cancellations
received late or for not attendance. Body Balance and Beyond Inc. reserves the
right to cancel the course. All registration fees paid for the course will be
refunded if the course has been canceled by . Body Balance and Beyond Inc.
Mail to: Body Balance and Beyond
Additional registrants:
Name:
Address:
City:
State:
Zip:
Phone:
E-mail:
Course
name:
Name:
Address:
City:
State:
Zip:
Phone:
E-mail:
Course
name:
Phone: (650) 638-1988 Fax:
(650) 638-0788