Yoga Classes Enrollment Form (Pune)

Name

Please Enter your Full Name

Email

Mobile Number

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Gender

Select Course Date

Address

Address Line 1

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Zip CodeCountry

City

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I would like to join

Have you done Yoga before

Do you have any Health problem

If yes, please fill the details

Current Profession

How did you come to know about this Program

Before you start the session please inform the yoga instructor of any physical or mental problems you may have. 1. The practice of yoga has certain hazards and risks and by which it requires physical exertion that may cause physical injury. 2. I have been advised to consult with a medical physician prior to joining a yoga class, workshop, or any session. 4. By requesting for this class I hereby release, waive, discharge and hold harmless the institution, its directors, officers, staff, volunteers, affiliates, and partners from any and all liabilities arising from any untoward incident in my participation to any class, workshop, and relevant sessions which may result to injury, loss, damage, or death. 5. By filling this form, I hereby represent and warrant that I am physically fit and capable to participate for yoga classes, workshop, or activities. I agree and legally bind myself, with full understanding to the contents and meaning of the provisions above. I declare that I am over 18 years of age and fully capable in giving my consent. **Confidentiality: The information collected in this form is solely for administrative purpose. It will remain strictly confidential and will not be disclosed to any third party without the consent of the practitioner.

By submitting this form, I agree to the usage of my details and email for registration and communication purpose by Kaivalyadhama only. I understand and agree that Kaivalyadhama will use my data only to communicate with me to keep me updated on workshops and related activities. You agree to share information entered on this page with Kaivalyadhama (owner of this page), adhering to applicable laws.

Yoga Classes - Enrollment Form