Yoga Class Registration
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Email *
Last Name *
First Name *
Address Line 1 *
Address Line 2
City *
State *
Zip Code *
Contact Phone Number *
Emergency Contact Person Name *
Emergency Contact Person Phone Number *
Provide name of two persons from Temple's Yoga group who referred you *
What is your main objective to join the Yoga Group
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This form was created inside of Society for the Advancement of Vedic Culture.