FLORIDA KEYS REGISTRATION

Please email minakshiwatsu@comcast.net first to see that space is available,

then send this form with a deposit of $200.

The tuition price does not include accommodation.
Tuition price is $700 for each 50 hour course, ($250 for 16 hours)

to be paid in full first day of course.


Cancellation Policy:

Please enclose a non-refundable deposit of $200.00 for each course.

If notified at least 2 weeeks in advance, this credit is transferable once

(less a $50 processing fee) for one year from the date of class cancelled.

Please write check (sorry, no credit cards) payable to
Minakshi 
62900 Overseas Highway #9
Marathon FL 33050

Name

Address

City

State, Zip

Phone (H)

e:mail

 

Profession

____________________________________

____________________________________

____________________________________

____________________________________

____________________________________

____________________________________

 

____________________________________

Please list your choice of course and dates:

------------------------------------------------------

-----------------------------------------------------

Arrival date:                          Time:

------------------------------------------------------

Departure date:                        Time:

------------------------------------------------------

Please circle below if you would like to share accommodations

Yes            No

Please circle your method of arrival

shuttle          car

home