Registration Form

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Registration Form

Namaste, kindly fill out this form to complete your enrolment at Adi Yoga Ashram. ☮

Email *

Full Name *

Date of Birth (DD-MM-YYYY) *

Gender *

Male

Female

Other

Other:

Email *

Contact Number ( Preferred WhatsApp) with country Code. *

Country *

Emergency Contact Number ( For Residential Programs Only)

Your Previous Yoga Experience. *

Where did you heard about us.

Google Search

Social Media

From a Friend/Relatives

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If available, please share your instagram handle with us. *

Course Format *

Residential

Online

Select Your Course. *

100 Hour Hatha Ashtanga Program

200 Hour Hatha Ashtanga TTC

300 Hour Hatha Ashtanga TTC

500 Hour Hatha Ashtanga TTC

100 Hour Traditional Kundalini Program

200 Hour Traditional Kundalini TTC

300 Hour Traditional Kundalini TTC

500 Hour Traditional Kundalini TTC

Yin Yoga TTC

Prenatal Yoga TTC

4 Days Yoga Retreat

6 Days Yoga Retreat

50 Hour Aerial Yoga

85 Hour Aerial Yoga

200 Hour + Aerial Combo

200 Hour + Prenatal Combo

200 Hour + Yin Yoga Combo

Aerial Yoga + Sound Healing Combo

Aerial + Yin + Prenatal Yoga Combo

Yin + Prenatal Yoga Combo

Other:

Your course is starting from?. *

YYYY

Do you have any food or health related allergies? ( For Residential Courses only) *

Accommodation Type (Note: Dorm option is not available for 50 Hour Aerial or 100 Hour Yoga Programs) *

Private

Twin-Shared

Dorm (4 Shared)

Without Accomodation

Other:

Additional Message to Adi Yoga Ashram , if Any.

Have you read and understood the terms and conditions?
*

Read Policies Here

Yes

I hereby declare that I am in optimal health and condition to participate in the yoga program. *

Yes

Send me a copy of my responses.

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