Registration Form

Name*

Age*

Phone*

Email*

Occupation*

Organization*

Marital Status*

Date of enrollment(dd/mm/yyyy)*

Batch timing (Select a timing - Morning 5:30 to 7, 7 to 8:15, 8:15 to 9:30, 9:30 to 10-45 & Evening 4:30 to 5:45, 5:45 to 7)*

How did you come to know about Dhrti Yoga Centre?*

Any previous yoga experience (If Yes, give a brief about it)?*

What are your goals/ objectives of joining the yoga session?*

Any medical history or concerns (past / present / acute / chronic). If yes, are you undergoing any treatment in any form ?*

Dhrti Yoga Center is 100% committed to get you results - Are you 100% committed to take up Dhrti's services by giving 100% attendance to accomplish desired results?*

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