Yoga Nidra Application Form

Training Location (required)

Training Location

First Name (required)

Last Name (required)

Email (required)

Address

Country (required)

Address Line 1 (required)

Address Line 2

Postal Code (required)

City (required)

Phone (required)

Country

Number

Date of Birth (required)

Gender (required)

I am

Nationality (required)

Emergency Contact (name + phone no.) (required)

Do you take any medication on a regular basis? (required)

Yes No

Since when do you practice Yoga? (required)

What style of Yoga do you practice? (required)

How do you integrate Yoga into your daily life?? (required)

Why do you want to attend Yoga Nidra? (required)

How do you plan to prepare yourself for Yoga Nidra? (required)

How did you find out about this training? (required)

Agree to our Terms and Privacy Policy? (required)

Yes, I agree.

Date/Time (required)

Name (required)

Our team will get back to you in the coming 10 working days. In case you have questions beforehand or you don’t hear from us, please send an email to manoj@yogalife.org.