Student Registration Form

Please fill in your details to complete your enrollment.

Personal Information (Primary Student)

First Name *

Last Name *

Email *

Phone Number *

WhatsApp Number (if different)

Additional Participants

If you are registering for multiple people (e.g. for a retreat), add them here. We will use the primary address and contact details for everyone.

Address Details

Street Address

City

State / Province

Country *

Zip / Postal Code

Emergency Contact (Optional)

Contact Name

Relationship

Emergency Phone

Health & Medical

Do you have any injuries? (If yes, please details)

Are you currently taking any medication?

History of mental health issues?

Course Details

Course Name

Course Dates

I declare that the information provided is correct to the best of my knowledge. I understand that yoga involves physical exertion and I accept full responsibility for my participation. I agree to the Terms and Conditions of Swaastik Yog School.

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