EMWYOG Academy Registration Form - East Meets West Yog Academy

Full Name

Please provide your full name exactly as it appears on your passport/ID so we can issue your certificate correctly 🙏

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Email

Please enter a valid email address 🙏 We’ll send your registration confirmation and important program details here.

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Phone

Include your country code followed by your phone number 🙏 This helps us reach you for confirmations and important updates.

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Address

Address Line 1

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Address Line 2

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City

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State/Province

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Postal Code

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Country

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Select Program/Course

Choose your desired program or course from the list 🙏 This ensures we reserve your spot in the correct session.

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Accommodation Preference

Select your preferred accommodation type 🙏

Shared Room

Private Room

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Payment Option

Select your preferred payment method.

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Additional Notes

Any special requests or notes for your registration 🙏