SYA Enrollment Form
Namaste! We are so delighted to welcome you to the Samadhi Yoga Family! We hope you are as excited as we are for you to embark on this life-changing and transformative journey.
Please fill out this form to complete your enrollment at Samadhi Yoga Ashram.
Name *
Your answer
Email *
Your answer
Gender *
Required
Date Of Birth *
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DD
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Phone number *
Your answer
Emergency Contact Number *
Your answer
Country
Your answer
Address *
Your answer
Yoga Experience
Your answer
Course Name *
Required
When is the start of your course? *
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DD
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YYYY
Do you have any food or health releted allergies?
Your answer
Do you have any medical or health issue we should know about?
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Where did you hear about us? *
Your answer
Will you be staying in a shared or a private room? The course fee autometically includes shared room *
Message
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