Member Enrolment

I am an existing member (enrolled before January 2023)

First name*

If you have registered for trial earlier, please enter exactly the same first name, last name and phone number as entered for trial registration.

Last name*

Gender*

Birth date*

Phone number*

Email*

House building*

Flat/Apartment/House, Building, Society, Company

Street landmark*

Street, Sector, Landmark

Area*

Select an area or locality name from the list or add if not listed.

Pincode*

City*

State*

Country*

Occupation*

Select your course*

Select preferred batch*

Wellness goals

Select one or more from the dropdown list or add if not listed.

Health conditions/injuries, if any

Select one or more from the dropdown list or add if not listed.

Emergency contact name*

Emergency contact number*

Reference source(s)

Select one or more from the dropdown list or add if not listed.

Referral name

Referral contact number

Waiver

If at any time during the class, you feel discomfort or strain, gently come out of the posture. You may rest at any time during the class. It is important in yog that you listen to your body, and respect its limits on any given day.

Terms and conditions

I understand that yog is not a substitute for medical attention, examination, diagnosis, or treatment. I should consult a physician prior to beginning any activity program, including yog. I recognize that it is my responsibility to notify my teacher of any serious illness or injury before every yog class. I will not perform any postures to the extent of strain or pain. I accept that neither the instructor, nor the hosting facility, is liable for any injury, or damages, to person or property, resulting from the taking of the class. Those under 18 years of age must have approval by their parents or guardian. I have read, understand and agree to follow and abide all of the above stated terms and conditions and agree to receive all promotional and marketing messages from Yogvishwa. By selecting the option 'I agree', I give my consent towards the above-mentioned terms and conditions.

I agree