Ashram
 
 
 
 
Registration for IYENGAR YOGA COURSE
     
Which course do you wish to attend:
  
Name  
Gender  
 
Age  
Date of birth  
Country  
Address  
     
Phone No. ----Main:
  
Res:
  
Mob:
  
 
E-mail  
Profession  
The next of kin of person who can be contacted in case of need/emergency:  
Name  
Relationship  
Address  
Phone  
Email  
Since when are you practicing or teaching? 
 
With whom and where?   
Do you have chronic illness?  
 
  (if yes, please state the nature of the illness)
 
How do you know about this course?   
   
Other information about yourself & Remarks
  

 

To complete your registration please pay an advance of 25 US$ using the payment link below. You can send the money using your PayPal account or your credit card through PayPal on secured server connection. If you can't use one of these two options please inform the teacher by sending an email to yogiyaar@hotmail.com

Successfully payed advance?    Yes     No

 

- Swami Dayananda Ashram, Rishikesh -