CHAMELI DEVI YOG KENDRA

Chameli Devi Yog Kendra Registration Form

Yog Kendra *

Preferred Batch *

Name*

Gender *

Male

Female

Other

Aadhar No.

Name of Father Mr.

Name of Mother Mrs.

Date of Birth *

Height/Weight

Mobile Number *

Email Id

Permanent Residential Address *

City / Pin Code *

State *

Present / Postal Residential Address *

Present Address Same As Permanent Address

Health Problem(If Any)

Profession

Passport Size Photo (JPG / JPEG)

LIABILITY DISCLAIMER

Englishहिंदी

I hereby agree for the following:

I wish to participate in Yoga classes offered by Chameli Devi Yog Kendra, during which I will receive information and instruction about Yoga, Meditation, health etc.
I am physically fit and have no medical condition which would prevent my full participation in this Yoga class/ Shivirs.
I understand that it is my responsibility to consult a physician or family doctor prior to and regarding my participation in this Yoga class/ Shivirs.
I recognise that this Yoga class/ Shivirs may require physical exertion, which may be strenuous and may cause physical injury and I am fully aware of the risks and hazards involved.
As is the case with any physical activity, the risk of injury, even serious or disabling, is always present and cannot be entirely eliminated. If I experience any pain or discomfort, I will listen to my body, adjust the posture and ask for support from the teacher. I will continue to breathe smoothly.
Yoga is not a substitute for medical attention, examination, diagnosis or treatment. Yoga is not recommended and is not safe under certain medical conditions.
I agree to notify Teacher and Yog Kendra Officials if my health and/or any medical conditions change/arise.
Pregnant or become pregnant, I will consult my doctor and obtain NOC to continue my classes(*NOC submitted to Yog Kendra). If not, I understand that participation is at my own risk and that of my unborn child/children.
I understand that from time to time during Yoga class/ Shivirs, the teacher may physically adjust students’ form and posture. If I do not want such physical adjustments, I will inform the teacher at each class I attend.
I accept full and sole responsibility from any liability of loss or damage to personal property associated with Yoga class/ Shivirs.
I agree, Chameli Devi Yog Kendra can use photographs, data, and other information from the kendra on its website and for social promotional activities. I agree to be contacted by email regarding updates / special events.
I voluntarily agreed to the terms and conditions stated above under my own free will.

I Agree