Yoga session Registration Form
Thank you for your interest! Please complete this form prior to attending your first class with us. This is a one-time registration. If you have previously registered, you need not register again. Once you register, the Zoom link and a copy of your form will be emailed to you. The inputs you provide here are very important for the Yoga teacher to provide recommendations.
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Email *
Full name *
City and Country of residence
Provide your phone number, if you would like to join our messaging group to get class reminders/ updates
Preferred method to stay connected
Gender
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Age group
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Profession (Knowing about your profession and lifestyle helps the Yoga teacher make informed decisions while providing recommendations. Please specify.)
Diet (Do you follow any specific diet or have dietary restrictions? Please provide details.)
Do you smoke?
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Do you consume alcohol?
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Exercise regimen (How many times do you exercise weekly and what type of exercise do you follow?)
Stress management activities (Please specify if you practice meditation/ certain stress or anxiety relieving activity)
How much time can you spend daily to practice Yoga?
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Do you have previous Yoga training/ experience? (If yes, please specify duration of experience you have and what kind of training you have received)
Any health concerns?
Please provide details of any health concerns you may have (if you answered 'Yes' to the previous question)
If you have a confirmed medical/ surgical diagnosis, are you deemed stable to participate in this course, by a licensed physician?
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Any physical limitations/ impairments? (If yes, provide details to make your Yoga teacher more aware of your situation)
Any other information not covered above but you would like to mention/bring to the attention of the Yoga teacher? You are welcome to use this space to send a message to Utsahi team or Guruji Prof. Laxmankumar.
How did you hear about Utsahi?
Personal goals that you would like to achieve through Yoga? (Yoga provides physical, mental and emotional strength. It helps with many health concerns and improves the quality of life. It also helps one grow spiritually. What are the benefits that you are hoping to gain from Yoga?)
Declaration *
I hereby solemnly declare that I am voluntarily taking part in this Yoga training. I am responsible for understanding my health condition and participating in the Yoga training after getting permission from a licensed physician who has assessed me. I further state that during any practice, should I experience/notice any problems/ adverse symptoms/ anything unusual, it is my responsibility to discontinue practice, seek medical help and bring it to the attention of my Yoga teacher. I will not hold responsible either directly or indirectly Utsahi Yoga Foundation, Utsahi Team, my Yoga teacher or his or her designee or the organizers of the event, under any circumstances. Further it is my responsibility to decide the suitability of any particular practice taught, based on my physical, emotional and psychological status. I have provided full and complete details of my medical status prior to starting the Yoga training. All the statements made are true and accurate to the best of my knowledge. I also assume full responsibility for any members of my family who are joining Yoga class with me who may not have registered separately. Thus, I completely and unconditionally release Utsahi Yoga Foundation, Utsahi Team, my Yoga teacher, his/ her designee and the event organizers from all liabilities, claims, demands, losses and damages including attorney's fees and cost arising directly or indirectly out of this training. I have read, understood and agree to the terms and conditions in this form.
Required
Please note: It is recommended to practice Yoga on an almost empty stomach, so preferably give a gap of half an hour to one hour after eating.  Please wear comfortable clothes. Stay hydrated. Complete the form above and take necessary precautions mentioned therein. Thanks!
A copy of your responses will be emailed to the address you provided.
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