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06:EC-280 Salt Lake City, Kolkata-700064
Mobile No.: +91 87774 79130
Email: himalayayogashala23@gmail.com

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Home Address*

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Are you experiencing any of the following health conditions? *

AsthmaEpilepsyHigh Blood PressureBack PainSchizophreniaOthers (Please specify)

If Others, please specify

Have you undergone surgery in the past?*

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If Yes, please specify

Have you practiced Yoga before?

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If Yes, please specify for how long & when?

How did you come to know about Himalaya Yogashala?*

Friends & RelativesDigitallyOther...

Which batch would you like to enroll for?*

06:00 to 07:00 am Beginner to Intermediate07:15 to 08:15 am Beginner to Intermediate08:30 to 09:30 am Beginner10:30 to 11:30 am Beginner04:30 to 05:30 pm Beginner to Intermediate05:30 to 06:30 pm Yoga for Elders/Beginner Level07:00 to 08:00 am Meditation & Chanting Saturday08:00 to 09:00 am Kids Yoga SaturdayPre-natal Yoga MWF

In case of an emergency, please contact

DECLARATION
I understand that any benefits derived from the course depend upon the extent of my participation. I therefore take full responsibility of the outcome. I willingly agree to follow all instructions and commit myself to attend all sessions without any exception. I also agree that I will not disclose the contents of this course to anyone. I declare that I am physically and mentally able to participate in this programme.

YesNo