1.    Please print and complete this form indicting the class you wish to enroll in.
2.    A deposit of $25**, or the full session payment, reserves your space in class and is applied towards the session fee. Mastercard, Visa and checks are accepted.

If paying by check, please make it payable to Spirit into Life, Inc.
If paying by credit card:
Please charge $_________ to my Visa   Mastercard              
Name as it appears on card _____________________________________________

Card number ________________________________________________________

Expiration Date _______/________

Fax completed registration form to (413) 812-4146.

3.     Postal mail or fax or your completed printer-friendly registration form with $25 deposit or full payment to:

Spirit into Life, Inc.    P.O. Box 282   Sudbury, MA 01776          Fax #: (413) 812-4146

4.     Thank you and we'll see you in class!

Your name _________________________________________  Phone # _____________________________________

E-mail _____________________________________________________

Child's name & D.O.B. ____________________________Child 2's name & D.O.B.______________________________

Early Registration ensures your spot in the class you'd like to join, indicate your preference below:

**A $25 deposit holds your space in class and goes toward your session fee. If you are not familiar with our refund policy click here.