Join SECOND WIND Name(required) Email(required) Phone Number (Active WhatsApp Number)(required) Age:(required) Current Weight (kg) : Emergency Contact Person's Name:(required) Relationship with Emergency Contact Person:(required) Emergency Contact Person's Phone Number:(required) Session(required) Evening : Strength Training: 5:00 PM IST – 5:45 PM IST (Rs. 500/- Per month) Health condition if any High / low blood pressure Diabetes Cardio vascular disease Lung disease Neuro-muscular disorder PCOS / PCOD Physical injuries if any (Mention below in detail) Recent surgeries if an (Mention below in detail) Details of any of the above OR any limitation for physical exercise. Referred By: How did you find us? Choose one Facebook/Instagram/Website WhatsApp Group Word of mouth Community Email Additional members details: Member 1: Age Member 2: Age Address: City:(required) Payment Options(required) Paytm to +91 7842755252 NetBanking Netbanking: Account Holder: SONAL ANKUSH PATILAccount Number: 00451140051462IFSC: HDFC0000045Branch: CHANDA NAGARMMID:9240961 Consent:We understand that it is our responsibility to consult a physician prior to participating in sessions. We warrant that all family members enrolled are physically fit and do not have medical conditions which would prevent us participating in sessions. We recognize the various suggested poses should be approached in a gentle fashion. If any movement brings discomfort, We know to modify the pose as deemed necessary to our physical needs. We agree to assume full responsibility for any injuries sustained to any family members enrolled. We have read and fully understand this consent and accept its contents. Read and accept all the Terms and Conditions before enrolling. Accept and Enroll
