YOGABHYASA I
A course on Hatha Yoga

Sponsor: TRIVENI (Kannada Cultural Organization of the Tri-State Area)

Instructor: Jayaram K. Udupa

Name: ______________________________

Address : _______________________________

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E-mail :_______________________________

Phone :_______________________________

I understand that I am taking this course on my own volition. I will hold neither TRIVENI nor the instructor Jayaram Udupa responsible for any injury of any form caused to me during learning Yoga through this course or during practice of Yoga outside the course.

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Participant’s Signature and date