Study in India Application *

Full Name: *
Age: *
Mailing Address: *

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Email: *
Phone Number: *

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Occupation: *
Education Level:
Your experience practicing yoga:
Your experience practicing Ashtanga Yoga, including teachers in the lineage you have studied with and for how long:
Describe your current practice:
Describe personal reasons for wanting to attend this course:
Please provide any additional background or current information about you that you would like to share, or that may be helpful for David to understand your interest in this course.
What weeks and dates are you hoping to attend ( 4, 3, 2, or 1 week)
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