Registration Form

REGISTRATION FORM

Name*

Age*

Phone*

Email*

Occupation*

Organization

Marital Status*

Date of enrollment*

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