Hatha Yoga Workshop Registration

Hatha Yoga Workshop Registration

December 23 - 28, 2019 at Kaivalyadhama Lonavala.
How many people are you registering for the workshop? *
First Registrant Name *

First Name Last Name
Gender *
Second Registrant Name *

First Name Last Name
Gender *
Full Name *

First Name Last Name
Gender *
Address for Communication *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
E-mail *
Phone Number *

Area Code Phone Number
Select Accommodation (Single) *
Select Accommodation (Double) *
Reason for attending this workshop *

Personal interest Subject is related to your field of work or study Others
Explain your background in yoga *
Comments/Remarks
*
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