Registration Form

1Personal
2Medical
3Membership
4Lifestyle
5Review

Step 1 of 5 — Personal Info

Personal Info

Tell us a little about yourself

Full Name *

Date of Birth

Marital Status

Married Unmarried

Height

Weight (kg)

Mobile Number *

WhatsApp Number Same as mobile number

Email Address

Address

Medical Analysis

This helps our trainers keep your practice safe

Select all that apply to you. Choose “None” if you have no medical concerns.

Back Pain Knee Pain Neck Pain/Cervical Arthritis Asthma Allergies Hypo Thyroid Hyper Thyroid PCOD/PCOS Infertility High BP/Low BP Fatigue Depression Skin Problem Low Immunity Stress Obesity Diabetes Headache/Migraine Sleep Disorder Basic Pain/Injury None

Other (please specify)

Any Major Surgery

Past & Present Medicine

Membership

Choose the plan that suits you best

Select Plan *

✓3Months ✓6Months ✓1Year

Preferred Time Slot

Amount Paid

₹

If you are paying at the studio, you may leave the amount blank — our team will update it.

Lifestyle & Goals

A few questions to personalize your practice

Do you have any addictions?

Smoke Alcohol Drugs Gutkha

Sleeping Habit

Moderate Sound Disturbed

Usual Sleeping Time

What is your goal?

Pain Relief Fitness Better Sleep Reduce Stress

Review & Sign

Please check your details before submitting

Date: 26 October 2026

Signature *

Sign here using your finger or mouse

I hereby declare that the information provided above is true and correct to the best of my knowledge. I understand that yoga involves physical activity and I have disclosed my medical conditions honestly.

Step 1 of 5