Course Registration - Rhythmic Yoga Academy

Full Name * Email Address * All class/course information, payment dues and certificate copies will be sent to this email address. Phone Number * Gender * Address * Your certificate maybe posted to this address. Date of Birth * Course Applying For * Name to be printed on the certificate * Your name to be printed on certificate in ENGLISH Only

Yoga Experience

Please answer the following questions

Have you learned or practiced Yoga Previously? * Why do you wish to register for this course this time? * Do you have any health issues or injuries? If yes, please provide details. (Blood pressure, Diabetes, old muscle or bone injuries, back problems etc.) If no, mention as "No". *

Additional Information

Let us know a little bit more

What is your religious background? This information is required only if you've chosen to study Meditation Practitioner or Instructor Course How did you hear about us? *
By checking this option, you are agreeing to our privacy policy and allowing Rhythmic Yoga Academy to contact you regarding your application. *