YEP Registration Form

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Welcome to your Yoga and meditation Journey with Aham Yoga Home. I order to assist you well and enable you to gain best out of the yoga classes, kindly submit the below form.

Email *

Record my email address with my response

Full Name *

Contact number *

Have you ever had Epilepsy attack?
*

Yes

Have you done Botox withing last 90 days? *

Yes

Do you have any health issue which you may be concern of so that we can be more careful and suggest an option of some postures while conducting Yoga and meditation. *

Have you gone through a surgery within last 6 months? if yes please provide details.

I acknowledge that I have read this form in its entirety, or it has been read to me, and I understand my responsibility in the Yoga course in which I will be engaged. I accept the risks, rules, and regulations set forth. Knowing these, and having had an opportunity to ask questions which have been answered to my satisfaction, I consent to participate in this Yoga Course. *

Yes

Signature *

Send me a copy of my responses.

Submit

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