Registration form_Yoga Training, Wellness Program and an Academic Study 

We are conducting the RUSA-MKU supported Research Project entitled as “Effect of Yoga Practices on Hormones and stress factors” This yoga class will contain postures, specific breathing, relaxation & meditative techniques. Some of these may be inadvisable or contraindicated if you have certain medical conditions. It is important to let the tutor know if you have any of the conditions below or any other condition that you think your tutor should know about. Please also check with your Doctor if in doubt. The interested volunteers need to give 10 ml blood on Day 1 and Day 45.

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Name of the participant *
Date of Birth *
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Email id *
Mobile No *
Address *
Name of the Emergency Contact Person
Contact Number of the Contact Person *
Gender *
Age *
Marital Status *
Occupation *
Qualification *
Food habit
Clear selection
Sleeping time *
Height (in cm) *
Weight (in Kg) *
Mode of Preference of Programme *
Please tick if you have any of the following conditions
Diabetes
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High blood pressure
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Low blood pressure
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Heart condition (history of heart attack, angio etc)  
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Joint condition (knee, hip, shoulder etc)

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Arthritis
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Back or spine conditions

( such as Spondylitis, Scoliosis, Sciatica etc)  
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Pregnancy
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Depression
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Abdominal surgery (last 3 years) or Hernia
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Epilepsy
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Please give specific details if you have any of the above
Do you take any medication or have any medical condition or sensory loss which may affect you during class?
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Do you have any other condition, injury, illness, recent operation or physical disability which you consider we should know about? 
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Do you have any previous yoga experience?
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What do you hope to achieve from your practise of Yoga?

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I understand that some of the practices are inadvisable or contraindicated when suffering from certain medical conditions.

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I accept personal responsibility for my health, safety & well-being during this class.

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To join the WhatsApp Group Please click the following link (This group will be deleted after completion of the Programme)
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