Registration:- Surya Kriya: Nov. 18th-20th, 2022
Please fill in the information below.

This information will allow me to ensure that you can make the most of the program. All personal information will remain strictly confidential.
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Email *
First name *
Last Name *
Date of Birth *
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Gender
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Address *
Phone Number *
Email Id *
Women Only: Are you currently pregnant?
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Emergency Contact Name *
Occupation
Emergency Contact Number *
Prior Experience of Yoga
Please give details of the types of yoga you have practiced and how long you have been practicing - if more than one, please include each below.

What is your prior yoga experience? E.g. None, beginners, etc.
What type of yoga or meditation have you practiced? Please list e.g. Vinyasa, Ashtanga, Vipassana etc.
Have you participated in any Isha Yoga Programs? *
If yes, please give details below (Program and Year)
What do you hope to achieve from this program? *
Have you attended any program with Sathya Yoga & Wellness previously? *
How did you hear about the program? *
Medical Condition
Please take a minute to provide me with a few details of your current health condition.
Please indicate if you currently suffer from, or have previously suffered from any of the following condition/s? *
If you have checked any of the above, please give details of the nature and duration of the condition and if you are currently undergoing any treatment
Have you been administered with the Covid vaccine in the last 2-3 months?
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Allergy History: Please indicate if you currently have or have previously experienced any of the following allergies
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If you have checked any of the above, please give details of the nature of the allergy and the treatment required in case of emergency
Thank you for registering. We look forward to seeing you at the workshop :) In the meantime, if you have any questions, do not hesitate to get in touch: 0775821550/sathyayogawellness@gmail.com
A copy of your responses will be emailed to the address you provided.
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