R E G I S T R A T I O N       F O R M


To register for class sessions with Jo Zukovich, please send this form
and check payable to:

Jo Zukovich l 4687 Del Monte Street l San Diego, CA  92107 l 619-222-4287

May session, 4 classes:   $70 o
June session, 4 classes: $70 o
August session, 4 classes: $70 o

Total Enclosed $________________

If you need to cancel your session please give a 96 hour cancellation notice for refund.  Due to limited size of classes, we’re apologize, but missed classes can’t be made up.

Name: __________________________________________________________________________________

Address: ________________________________________________________________________________

City: ______________________________________________ State: __________ Zip: ________________

e-mail (E-mail address to notify you of any changes): ___________________________________________

Phone: (daytime) __________________________________ (evening) ______________________________