Linda Lutz
12776 Winding River Rd.
Columbia, MO 65203-9371
Name ____________________________
Home # _____________________ Work # ___________________________
Address _____________________________ City/State _____________________
Zip _____________________ e-mail_____________________
| Class | Time | Cost |
| First Choice | ||
| Second Choice |
If you are a repeat student, when was your last class? __________________________
How did you hear about the Columbia Yoga Center? ____________________________