General Registration Form

name ________________________________________________________

address ______________________________________________________

email ________________________________________________________

how did you hear about us?_______________________________________

what class(es) are you enrolling in (please be specific)

____________________________________________________________

____________________________________________________________

amount enclosed _______________________________________________

any injuries, chronic conditions, or recent surgeries we should know about

____________________________________________________________

____________________________________________________________

mail checks to:

bend studio
5014 mckinney avenue
dallas, texas
75205
(214) 841 9642