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NKV Holistic Living- Participant Registration Form
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* Indicates required question
Email
*
Your email
Which programme are you attending?
*
Choose
Prathama (Foundation)
Madhyama (Progressive)
Jyeshta (Advanced)
Samstha (Corporate)
Yuva ( Youth)
Yuva Plus (Youth)
Full Name
*
Your answer
What is your age group?
*
16-24 years
25-35 years
36-45 years
46-59 years
60 and above
Address
Your answer
City
*
Your answer
Postcode/ Pin code
*
Your answer
County/ State/ Province
*
Your answer
Country
*
Your answer
Phone number
*
Your answer
Gender
*
Male
Female
Other
Profession
*
Your answer
Do you have any health condition? If so, please mention below.
[We use this information to take precautions while instructing during the practice sessions. Please inform us in advance if you feel the need to do so. The information entered is subject to confidentiality.]
Your answer
Have you undergone any surgery in the past 6 months? (Eg: heart or knee surgery)
*
Please note: If you have undergone a major surgery, we advise you to consult your GP or a licensed doctor for advice before attending the programme.
Yes
No
Required
If selected 'Yes' for the previous question, please mention details. This may include details such as the type of surgery, date, doctors advice etc.
This helps us take precautions and instruct accordingly in the practice sessions of the programme.
Your answer
Which of the following courses have you attended in the past?
Yoga teachers training
Yoga courses
Mindfulness courses
Other:
What are you expectations from the NKV Holistic Living programmes? This helps us better the quality of our service to you!
Your answer
Participant Consent
*
I agree to the Terms & Conditions, Disclaimer and Privacy Policy of NKV Holistic Living (
https://nkvholisticliving.co.uk/terms-%26-conditions
).
Required
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