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Children Camp Online Registration

Children Camp Online Registrationinfo@achyutaashram.com2021-12-06T04:59:35+00:00

Children's camp
Personal Information & confidential

*Name

*Email

*Phone Number

* Are you participate Before Any camp

Yes

No

*preves are u join any camp

*School Name

*How did you know the camp ?

*Are you do yoga ?

yes

No

*If yes, how many days practicing .and what is your teacher name ?

*If yes, how long u are practicing ?

Medical Information

*Are you taking any Medications?

yes

No

*If yes, please write what type of health problem:

*Do you suffer from chronic pain?

yes

No

*If yes, how along u are suffering the problem on health ?

*How many hours reading ?

*What time wakeup ?

*what interested your life ?

*person photo

*Reading and understanding terms and conditions

I Agree to the Terms and Conditions

Terms and Conditions

*Signature

Office use

*volunteer Name

*Remark

*volunteer Signature