Registration Form

REGISTRATION FORM

    Name*

    Age*

    Phone*

    Email*

    Occupation*

    Organization*

    Current place of residence*

    Marital Status*

    Date of enrolment*

    Batch Timing*

    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?*

    Dhrti Yoga Center

    MR-31, 2nd Floor
    Behind Canara Bank Apartments
    BTM 2nd Stage
    Bangalore-560076
    Karnataka India

    +91-98860 21047 / +91-9880617537

    info@dhrti.com

    Adyashakti Yogadarshana

    #147, 2 main, Pride Valley View Layout,
    Opp PVV Park, Bukkasagara,
    Bengaluru, Karnataka 560083

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