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Registration
First name
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Last name
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Street Address
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City
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Pin/Zip
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State
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Country
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Email Address
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Phone Number
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Age
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Educational Qualification
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Occupation
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- Select Gender-
Male
Female
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Other
Please select a gender.
- Select Communication Preference -
Whatsapp
Email
Phone Call
This field is mandatory.
- Select Program -
Please select a program.
- Select Time -
Please select a time.
Please indicate below if you currently or previously have had any of the below physical or mental ailments:
Hernia (last 6 months)
Major Surgery (last 6 months)
Neck pain/injuries
Joint related issues
Spinal conditions
Chronic pain
Diabetes
Respiratory conditions
Bowel/Bladder issues
Heart conditions
High BP
Low BP
Stroke
Bleeding disorders
Depression/Anxiety
For women, are you currently pregnant or planning for pregnancy?
If any of the above is true, please give details like it's nature, duration and undergoing treatment
Have you taken any yoga programs before? Please give details
Please answer above question
How did you hear about us?
I have read the
medical terms and conditions
and
refund and cancellation policy.
You must agree before submitting.
I hereby willingly undertake to attend this program completely. I take full responsibility for the result and indemnify the organizers against all claims and suits. I will not communicate the contents of the program, either directly or indirectly to anyone else. I understand the participation guidelines and agree to follow them. I hereby declare that the above information is true, accurate and complete to the best of my knowledge.
You must agree before submitting.
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Confirmation
Important Note:
Please make the cash payment within 24 hours to secure your spot. Otherwise, your registration will get cancelled automatically. Please let us know an hour ahead if planning to visit us.
If you have any questions, you can contact us at 81096-96955.
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