Adult Aerial Dance Registration

Adult AERIAL DANCE CLASS registration forms for Triangle Yoga, Chapel Hill NC
Full Name of Buyer *

First Name Last Name
Full Name of Participant *

First Name Last Name
Birth Date of Participant *

Month Day Year Date Picker Icon
E-mail *
Phone Number *

Area Code Phone Number

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Emergency Contact *

First Name Last Name
Emergency Contact Phone Number *

Area Code Phone Number
First come-first serve to our Aerial Open Practice Class (only a $10 to drop-in). You can also pre-pay for 10 classes at a time: $100 for an AERIAL OPEN PRACTICE 10 CLASS PASS CARD with no expiration.

Please make your choice and then hit the SUBMIT button at the bottom to move onto the payment processing page.

A 4% fee is added to cover all credit card fees. Sales are not refundable.

DRESS CODE: Please wear a t-shirt to cover your armpits, footless tights and remove all jewelry.
Adult Aerial Dance Class Choices for Triangle Yoga, Chapel Hill NC

HOLIDAY SESSION Level 1-2 ADULT AERIAL DANCE with Jill Chafin: Sundays, Nov 17-Dec 15 at 6:30pm-8pm, 5 classes $ 105.00

WINTER SESSION Level 1 ADULT AERIAL DANCE with Jill Chafin: Sundays, Feb 2-Mar 22, 6:30pm-8pm, 5 classes 2 $ 168.00

EVERY SUNDAY at 2pm AERIAL OPEN PRACTICE: 10 Class Pass $ 105.00
Should be Empty: