Nischala Holistic and Yoga
Registration Form
First Name, Last Name *
Gender *
Date of Birth
Phone Number
Email Address
Marital Status
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Program you would like to attend?
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Do you currently work?
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Current Occupation
Currently do you have any physical or mental ailments?
Please list any physical challenges
Please list your food habits(vegetarian, non-vegetarian, vegan etc.) and sleeping habits (poor sleep, disturbed sleep, sleep well).
Please use link below to make payments according to the program you would be joining.
I declare this in my full consciousness and understanding. I am joining this health camp/ training course with the only aim of learning natural and healthy life style incorporating food and yoga. As I am aware that Natural life style does not claim to treat any type of disease. It only endeavors to increase the health level of followers for specific treatment of any disease you may consult your physician. Please sign below by writing your full name. *
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