Yoga Bharati Class Signup and Payment
Please Enquire and make sure the class you are signing up for has seats available and registrations are open. This form is to be filled when you are ready to enroll into the class

Classes we may have include:
Yoga for Adult - Wellness
Yoga Therapy for Adults - Chronic Conditions and special needs
Yoga for Kids - Wellness
Yoga Therapy for Kids - Chronic Conditions and special needs
Prenatal Yoga
Postnatal Yoga
Bhagavad Gita Chanting - Adults and Kids
Online Sessions for Wellness or Chronic Conditions
Private Yoga
Much more...

First Name *
If registering for Child, enter Child's Name
Your answer
Last Name *
If registering for Child, Enter Child's Name
Your answer
Age (if kids class enter child's age) *
Your answer
Gender *
Email ID *
Your answer
Cell Phone *
Your answer
Other Phone
Your answer
Address
Your answer
City, State and Zip *
Your answer
Health Condition (if any) *
Enter NA if no health condition
Your answer
How did you come to know about us? *
Check all that apply
Required
If Friend, whom do we thank?
Name and Email ID PLEASE (so we can send compliments to them)
Your answer
Have you Practiced Yoga before? (How Long) *
Enter YES/NO and How many YEARS?
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Number *
List all contacts in the order of Priority
Your answer
Mailchimp Newsletter Subscription *
We are adding you to our Mailchimp Mailing list. You will need to confirm and opt in. This helps you to be informed of our class schedules, our workshops, retreats and other events. We do not spam you with too many emails. Expect an average of 2 newsletters per month. You may unsubscribe anytime if you do not wish to see these messages.
Required
Yoga Focus Group *
Class Type *
Class Location *
Select the location you are interested or mention the city we have announced for workshop or class
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