Registration & Enquiries

Please indicate the nature of your enquiry and we will get back to you as soon as possible...

Please Note: all areas followed by an asterisk must be filled in.
Notez: Tous les zones suivis par un astérisque doivent être remplis.
Nota: Todos las zonas marcados con un asterisco son obligatorios.

First Name*

Last Name*

E-Mail Address*

City

Home Phone

How did you hear about Praxis?*

	Took Class with Duncan
	Online Search
	Referred by Friend/Family
	Other

What would you like to do?*

	Register
	Enquire
	Make an Appointment
	Other

Which course or type of session are you interested in?*

	Meditation Level I, II, III, etc.
	EnChanted Evenings (Singing Yoga)
	Zumba/Zumba Gold
	Meditative & Restorative Yoga
	Reiki Classes & Sessions
	Mexico Winter Retreat
	Expressive Arts & Meditation
	Spiritual Counseling & Aura Readings
	Private Healing Session
	Other

Any other enquiries? Or specify which course you are registering for (if not listed above)...

Do you want to know about upcoming courses, special offers & other updates? (usually 3 times per month)?*

	Yes--I'd like to receive the e-newsletter
	No thanks, not at this time

Please enter the word that you see below.
S'il vous plaît entrez le mot que vous voyez ci-dessous.
Por favor, introduzca la palabra que aparece a continuación.