{"id":12587,"date":"2022-09-20T12:47:27","date_gmt":"2022-09-20T12:47:27","guid":{"rendered":"https:\/\/bharatha.org\/staging\/?page_id=12587"},"modified":"2023-10-05T22:09:42","modified_gmt":"2023-10-05T16:39:42","slug":"registration","status":"publish","type":"page","link":"https:\/\/bharatha.org\/staging\/registration\/","title":{"rendered":"Registration"},"content":{"rendered":"<form id=\"wpforms-form-15640\" data-formid=\"15640\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/wp-admin\/admin-ajax.php?wpforms_form_id=15640\" data-token=\"04db98d1672efe1ad296c4178997e413\"><noscript>Please enable JavaScript in your browser to complete this form.<\/noscript><\/p>\n<h3 id=\"wpforms-15640-field_81\" name=\"wpforms[fields][81]\">Basic Information<\/h3>\n<p><label for=\"wpforms-15640-field_1\">Name *<\/label><input type=\"text\" id=\"wpforms-15640-field_1\" name=\"wpforms[fields][1][first]\" required><label for=\"wpforms-15640-field_1\">First<\/label><input type=\"text\" id=\"wpforms-15640-field_1-last\" name=\"wpforms[fields][1][last]\" required><label for=\"wpforms-15640-field_1-last\">Last<\/label><label for=\"wpforms-15640-field_2\">Email *<\/label><input type=\"email\" id=\"wpforms-15640-field_2\" name=\"wpforms[fields][2]\" required><label for=\"wpforms-15640-field_44\">Whatsapp Number *<\/label><input type=\"tel\" id=\"wpforms-15640-field_44\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][44]\" required><label for=\"wpforms-15640-field_45\">Date of Birth *<\/label><select name=\"wpforms[fields][45][date][d]\" id=\"wpforms-15640-field_45-day\"  required><option value=\"\" selected disabled>DD<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><option value=\"13\" >13<\/option><option value=\"14\" >14<\/option><option value=\"15\" >15<\/option><option value=\"16\" >16<\/option><option value=\"17\" >17<\/option><option value=\"18\" >18<\/option><option value=\"19\" >19<\/option><option value=\"20\" >20<\/option><option value=\"21\" >21<\/option><option value=\"22\" >22<\/option><option value=\"23\" >23<\/option><option value=\"24\" >24<\/option><option value=\"25\" >25<\/option><option value=\"26\" >26<\/option><option value=\"27\" >27<\/option><option value=\"28\" >28<\/option><option value=\"29\" >29<\/option><option value=\"30\" >30<\/option><option value=\"31\" >31<\/option><\/select>\/<select name=\"wpforms[fields][45][date][m]\" id=\"wpforms-15640-field_45-month\"  required><option value=\"\" selected disabled>MM<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><\/select>\/<select name=\"wpforms[fields][45][date][y]\" id=\"wpforms-15640-field_45-year\"  required><option value=\"\" selected disabled>YYYY<\/option><option value=\"2023\" >2023<\/option><option value=\"2022\" >2022<\/option><option value=\"2021\" >2021<\/option><option value=\"2020\" >2020<\/option><option value=\"2019\" >2019<\/option><option value=\"2018\" >2018<\/option><option value=\"2017\" >2017<\/option><option value=\"2016\" >2016<\/option><option value=\"2015\" >2015<\/option><option value=\"2014\" >2014<\/option><option value=\"2013\" >2013<\/option><option value=\"2012\" >2012<\/option><option value=\"2011\" >2011<\/option><option value=\"2010\" >2010<\/option><option value=\"2009\" >2009<\/option><option value=\"2008\" >2008<\/option><option value=\"2007\" >2007<\/option><option value=\"2006\" >2006<\/option><option value=\"2005\" >2005<\/option><option value=\"2004\" >2004<\/option><option value=\"2003\" >2003<\/option><option value=\"2002\" >2002<\/option><option value=\"2001\" >2001<\/option><option value=\"2000\" >2000<\/option><option value=\"1999\" >1999<\/option><option value=\"1998\" >1998<\/option><option value=\"1997\" >1997<\/option><option value=\"1996\" >1996<\/option><option value=\"1995\" >1995<\/option><option value=\"1994\" >1994<\/option><option value=\"1993\" >1993<\/option><option value=\"1992\" >1992<\/option><option value=\"1991\" >1991<\/option><option value=\"1990\" >1990<\/option><option value=\"1989\" >1989<\/option><option value=\"1988\" >1988<\/option><option value=\"1987\" >1987<\/option><option value=\"1986\" >1986<\/option><option value=\"1985\" >1985<\/option><option value=\"1984\" >1984<\/option><option value=\"1983\" >1983<\/option><option value=\"1982\" >1982<\/option><option value=\"1981\" >1981<\/option><option value=\"1980\" >1980<\/option><option value=\"1979\" >1979<\/option><option value=\"1978\" >1978<\/option><option value=\"1977\" >1977<\/option><option value=\"1976\" >1976<\/option><option value=\"1975\" >1975<\/option><option value=\"1974\" >1974<\/option><option value=\"1973\" >1973<\/option><option value=\"1972\" >1972<\/option><option value=\"1971\" >1971<\/option><option value=\"1970\" >1970<\/option><option value=\"1969\" >1969<\/option><option value=\"1968\" >1968<\/option><option value=\"1967\" >1967<\/option><option value=\"1966\" >1966<\/option><option value=\"1965\" >1965<\/option><option value=\"1964\" >1964<\/option><option value=\"1963\" >1963<\/option><option value=\"1962\" >1962<\/option><option value=\"1961\" >1961<\/option><option value=\"1960\" >1960<\/option><option value=\"1959\" >1959<\/option><option value=\"1958\" >1958<\/option><option value=\"1957\" >1957<\/option><option value=\"1956\" >1956<\/option><option value=\"1955\" >1955<\/option><option value=\"1954\" >1954<\/option><option value=\"1953\" >1953<\/option><option value=\"1952\" >1952<\/option><option value=\"1951\" >1951<\/option><option value=\"1950\" >1950<\/option><option value=\"1949\" >1949<\/option><option value=\"1948\" >1948<\/option><option value=\"1947\" >1947<\/option><option value=\"1946\" >1946<\/option><option value=\"1945\" >1945<\/option><option value=\"1944\" >1944<\/option><option value=\"1943\" >1943<\/option><option value=\"1942\" >1942<\/option><option value=\"1941\" >1941<\/option><option value=\"1940\" >1940<\/option><option value=\"1939\" >1939<\/option><option value=\"1938\" >1938<\/option><option value=\"1937\" >1937<\/option><option value=\"1936\" >1936<\/option><option value=\"1935\" >1935<\/option><option value=\"1934\" >1934<\/option><option value=\"1933\" >1933<\/option><option value=\"1932\" >1932<\/option><option value=\"1931\" >1931<\/option><option value=\"1930\" >1930<\/option><option value=\"1929\" >1929<\/option><option value=\"1928\" >1928<\/option><option value=\"1927\" >1927<\/option><option value=\"1926\" >1926<\/option><option value=\"1925\" >1925<\/option><option value=\"1924\" >1924<\/option><option value=\"1923\" >1923<\/option><option value=\"1922\" >1922<\/option><option value=\"1921\" >1921<\/option><option value=\"1920\" >1920<\/option><\/select><label for=\"wpforms-15640-field_46\">Age *<\/label><input type=\"number\" pattern=\"d*\" id=\"wpforms-15640-field_46\" name=\"wpforms[fields][46]\" required><label for=\"wpforms-15640-field_47\">Gender *<\/label><\/p>\n<ul id=\"wpforms-15640-field_47\">\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_47_1\" name=\"wpforms[fields][47][]\" value=\"Male\" required ><label for=\"wpforms-15640-field_47_1\">Male<\/label><\/li>\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_47_2\" name=\"wpforms[fields][47][]\" value=\"Female\" required ><label for=\"wpforms-15640-field_47_2\">Female<\/label><\/li>\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_47_3\" name=\"wpforms[fields][47][]\" value=\"Other\" required ><label for=\"wpforms-15640-field_47_3\">Other<\/label><\/li>\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_47_4\" name=\"wpforms[fields][47][]\" value=\"Prefer not to disclose\" required ><label for=\"wpforms-15640-field_47_4\">Prefer not to disclose<\/label><\/li>\n<\/ul>\n<p><label for=\"wpforms-15640-field_48\">Weight *<\/label><input type=\"number\" pattern=\"d*\" id=\"wpforms-15640-field_48\" name=\"wpforms[fields][48]\" required><label for=\"wpforms-15640-field_49\">Height (in cms) *<\/label><input type=\"number\" pattern=\"d*\" id=\"wpforms-15640-field_49\" name=\"wpforms[fields][49]\" required><label for=\"wpforms-15640-field_50\">Qualification *<\/label><\/p>\n<ul id=\"wpforms-15640-field_50\">\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_50_1\" name=\"wpforms[fields][50][]\" value=\"10th Std or Equivalent\" required ><label for=\"wpforms-15640-field_50_1\">10th Std or Equivalent<\/label><\/li>\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_50_2\" name=\"wpforms[fields][50][]\" value=\"12th Std or Equivalent\" required ><label for=\"wpforms-15640-field_50_2\">12th Std or Equivalent<\/label><\/li>\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_50_3\" name=\"wpforms[fields][50][]\" value=\"Diploma\" required ><label for=\"wpforms-15640-field_50_3\">Diploma<\/label><\/li>\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_50_4\" name=\"wpforms[fields][50][]\" value=\"Bachelor&#039;s degree\" required ><label for=\"wpforms-15640-field_50_4\">Bachelor&#8217;s degree<\/label><\/li>\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_50_5\" name=\"wpforms[fields][50][]\" value=\"Master&#039;s degree\" required ><label for=\"wpforms-15640-field_50_5\">Master&#8217;s degree<\/label><\/li>\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_50_6\" name=\"wpforms[fields][50][]\" value=\"Post Graduate\" required ><label for=\"wpforms-15640-field_50_6\">Post Graduate<\/label><\/li>\n<\/ul>\n<p><label for=\"wpforms-15640-field_51\">Occupation *<\/label><\/p>\n<ul id=\"wpforms-15640-field_51\">\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_51_1\" name=\"wpforms[fields][51][]\" value=\"Artist\" required ><label for=\"wpforms-15640-field_51_1\">Artist<\/label><\/li>\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_51_2\" name=\"wpforms[fields][51][]\" value=\"Entrepreneur\" required ><label for=\"wpforms-15640-field_51_2\">Entrepreneur<\/label><\/li>\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_51_3\" name=\"wpforms[fields][51][]\" value=\"Teacher\" required ><label for=\"wpforms-15640-field_51_3\">Teacher<\/label><\/li>\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_51_4\" name=\"wpforms[fields][51][]\" value=\"Private Company Employee\" required ><label for=\"wpforms-15640-field_51_4\">Private Company Employee<\/label><\/li>\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_51_5\" name=\"wpforms[fields][51][]\" value=\"Government Employee\" required ><label for=\"wpforms-15640-field_51_5\">Government Employee<\/label><\/li>\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_51_6\" name=\"wpforms[fields][51][]\" value=\"Freelancer\" required ><label for=\"wpforms-15640-field_51_6\">Freelancer<\/label><\/li>\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_51_7\" name=\"wpforms[fields][51][]\" value=\"Unemployed\" required ><label for=\"wpforms-15640-field_51_7\">Unemployed<\/label><\/li>\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_51_8\" name=\"wpforms[fields][51][]\" value=\"In-between Jobs\" required ><label for=\"wpforms-15640-field_51_8\">In-between Jobs<\/label><\/li>\n<\/ul>\n<p><label for=\"wpforms-15640-field_52\">Instagram Link<\/label><input type=\"url\" id=\"wpforms-15640-field_52\" name=\"wpforms[fields][52]\" ><label for=\"wpforms-15640-field_53\">Website Link<\/label><input type=\"url\" id=\"wpforms-15640-field_53\" name=\"wpforms[fields][53]\" ><label for=\"wpforms-15640-field_54\">How did you get to know about us? *<\/label><\/p>\n<ul id=\"wpforms-15640-field_54\">\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_54_1\" name=\"wpforms[fields][54][]\" value=\"Friends\" required ><label for=\"wpforms-15640-field_54_1\">Friends<\/label><\/li>\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_54_2\" name=\"wpforms[fields][54][]\" value=\"Family\" required ><label for=\"wpforms-15640-field_54_2\">Family<\/label><\/li>\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_54_3\" name=\"wpforms[fields][54][]\" value=\"Instagram\" required ><label for=\"wpforms-15640-field_54_3\">Instagram<\/label><\/li>\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_54_4\" name=\"wpforms[fields][54][]\" value=\"Facebook\" required ><label for=\"wpforms-15640-field_54_4\">Facebook<\/label><\/li>\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_54_5\" name=\"wpforms[fields][54][]\" value=\"Google Search\" required ><label for=\"wpforms-15640-field_54_5\">Google Search<\/label><\/li>\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_54_6\" name=\"wpforms[fields][54][]\" value=\"Yoga teacher\" required ><label for=\"wpforms-15640-field_54_6\">Yoga teacher<\/label><\/li>\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_54_7\" name=\"wpforms[fields][54][]\" value=\"Others\" required ><label for=\"wpforms-15640-field_54_7\">Others<\/label><\/li>\n<\/ul>\n<p><label for=\"wpforms-15640-field_76\">Address *<\/label><input type=\"text\" id=\"wpforms-15640-field_76\" name=\"wpforms[fields][76][address1]\" required><label for=\"wpforms-15640-field_76\">Address Line 1<\/label><input type=\"text\" id=\"wpforms-15640-field_76-address2\" name=\"wpforms[fields][76][address2]\" ><label for=\"wpforms-15640-field_76-address2\">Address Line 2<\/label><input type=\"text\" id=\"wpforms-15640-field_76-city\" name=\"wpforms[fields][76][city]\" required><label for=\"wpforms-15640-field_76-city\">City<\/label><input type=\"text\" id=\"wpforms-15640-field_76-state\" name=\"wpforms[fields][76][state]\" required><label for=\"wpforms-15640-field_76-state\">State \/ Province \/ Region<\/label><input type=\"text\" id=\"wpforms-15640-field_76-postal\" name=\"wpforms[fields][76][postal]\" required><label for=\"wpforms-15640-field_76-postal\">Postal Code<\/label><select id=\"wpforms-15640-field_76-country\" name=\"wpforms[fields][76][country]\" required><option value=\"AF\" >Afghanistan<\/option><option value=\"AL\" >Albania<\/option><option value=\"DZ\" >Algeria<\/option><option value=\"AS\" >American Samoa<\/option><option value=\"AD\" >Andorra<\/option><option value=\"AO\" >Angola<\/option><option value=\"AI\" >Anguilla<\/option><option value=\"AQ\" >Antarctica<\/option><option value=\"AG\" >Antigua and Barbuda<\/option><option value=\"AR\" >Argentina<\/option><option value=\"AM\" >Armenia<\/option><option value=\"AW\" >Aruba<\/option><option value=\"AU\" >Australia<\/option><option value=\"AT\" >Austria<\/option><option value=\"AZ\" >Azerbaijan<\/option><option value=\"BS\" >Bahamas<\/option><option value=\"BH\" >Bahrain<\/option><option value=\"BD\" >Bangladesh<\/option><option value=\"BB\" >Barbados<\/option><option value=\"BY\" >Belarus<\/option><option value=\"BE\" >Belgium<\/option><option value=\"BZ\" >Belize<\/option><option value=\"BJ\" >Benin<\/option><option value=\"BM\" >Bermuda<\/option><option value=\"BT\" >Bhutan<\/option><option value=\"BO\" >Bolivia (Plurinational State of)<\/option><option value=\"BQ\" >Bonaire, Saint Eustatius and Saba<\/option><option value=\"BA\" >Bosnia and Herzegovina<\/option><option value=\"BW\" >Botswana<\/option><option value=\"BV\" >Bouvet Island<\/option><option value=\"BR\" >Brazil<\/option><option value=\"IO\" >British Indian Ocean Territory<\/option><option value=\"BN\" >Brunei Darussalam<\/option><option value=\"BG\" >Bulgaria<\/option><option value=\"BF\" >Burkina Faso<\/option><option value=\"BI\" >Burundi<\/option><option value=\"CV\" >Cabo Verde<\/option><option value=\"KH\" >Cambodia<\/option><option value=\"CM\" >Cameroon<\/option><option value=\"CA\" >Canada<\/option><option value=\"KY\" >Cayman Islands<\/option><option value=\"CF\" >Central African Republic<\/option><option value=\"TD\" >Chad<\/option><option value=\"CL\" >Chile<\/option><option value=\"CN\" >China<\/option><option value=\"CX\" >Christmas Island<\/option><option value=\"CC\" >Cocos (Keeling) Islands<\/option><option value=\"CO\" >Colombia<\/option><option value=\"KM\" >Comoros<\/option><option value=\"CG\" >Congo<\/option><option value=\"CD\" >Congo (Democratic Republic of the)<\/option><option value=\"CK\" >Cook Islands<\/option><option value=\"CR\" >Costa Rica<\/option><option value=\"HR\" >Croatia<\/option><option value=\"CU\" >Cuba<\/option><option value=\"CW\" >Cura\u00e7ao<\/option><option value=\"CY\" >Cyprus<\/option><option value=\"CZ\" >Czech Republic<\/option><option value=\"CI\" >C\u00f4te d&#039;Ivoire<\/option><option value=\"DK\" >Denmark<\/option><option value=\"DJ\" >Djibouti<\/option><option value=\"DM\" >Dominica<\/option><option value=\"DO\" >Dominican Republic<\/option><option value=\"EC\" >Ecuador<\/option><option value=\"EG\" >Egypt<\/option><option value=\"SV\" >El Salvador<\/option><option value=\"GQ\" >Equatorial Guinea<\/option><option value=\"ER\" >Eritrea<\/option><option value=\"EE\" >Estonia<\/option><option value=\"SZ\" >Eswatini (Kingdom of)<\/option><option value=\"ET\" >Ethiopia<\/option><option value=\"FK\" >Falkland Islands (Malvinas)<\/option><option value=\"FO\" >Faroe Islands<\/option><option value=\"FJ\" >Fiji<\/option><option value=\"FI\" >Finland<\/option><option value=\"FR\" >France<\/option><option value=\"GF\" >French Guiana<\/option><option value=\"PF\" >French Polynesia<\/option><option value=\"TF\" >French Southern Territories<\/option><option value=\"GA\" >Gabon<\/option><option value=\"GM\" >Gambia<\/option><option value=\"GE\" >Georgia<\/option><option value=\"DE\" >Germany<\/option><option value=\"GH\" >Ghana<\/option><option value=\"GI\" >Gibraltar<\/option><option value=\"GR\" >Greece<\/option><option value=\"GL\" >Greenland<\/option><option value=\"GD\" >Grenada<\/option><option value=\"GP\" >Guadeloupe<\/option><option value=\"GU\" >Guam<\/option><option value=\"GT\" >Guatemala<\/option><option value=\"GG\" >Guernsey<\/option><option value=\"GN\" >Guinea<\/option><option value=\"GW\" >Guinea-Bissau<\/option><option value=\"GY\" >Guyana<\/option><option value=\"HT\" >Haiti<\/option><option value=\"HM\" >Heard Island and McDonald Islands<\/option><option value=\"HN\" >Honduras<\/option><option value=\"HK\" >Hong Kong<\/option><option value=\"HU\" >Hungary<\/option><option value=\"IS\" >Iceland<\/option><option value=\"IN\" >India<\/option><option value=\"ID\" >Indonesia<\/option><option value=\"IR\" >Iran (Islamic Republic of)<\/option><option value=\"IQ\" >Iraq<\/option><option value=\"IE\" >Ireland (Republic of)<\/option><option value=\"IM\" >Isle of Man<\/option><option value=\"IL\" >Israel<\/option><option value=\"IT\" >Italy<\/option><option value=\"JM\" >Jamaica<\/option><option value=\"JP\" >Japan<\/option><option value=\"JE\" >Jersey<\/option><option value=\"JO\" >Jordan<\/option><option value=\"KZ\" >Kazakhstan<\/option><option value=\"KE\" >Kenya<\/option><option value=\"KI\" >Kiribati<\/option><option value=\"KP\" >Korea (Democratic People&#039;s Republic of)<\/option><option value=\"KR\" >Korea (Republic of)<\/option><option value=\"XK\" >Kosovo<\/option><option value=\"KW\" >Kuwait<\/option><option value=\"KG\" >Kyrgyzstan<\/option><option value=\"LA\" >Lao People&#039;s Democratic Republic<\/option><option value=\"LV\" >Latvia<\/option><option value=\"LB\" >Lebanon<\/option><option value=\"LS\" >Lesotho<\/option><option value=\"LR\" >Liberia<\/option><option value=\"LY\" >Libya<\/option><option value=\"LI\" >Liechtenstein<\/option><option value=\"LT\" >Lithuania<\/option><option value=\"LU\" >Luxembourg<\/option><option value=\"MO\" >Macao<\/option><option value=\"MG\" >Madagascar<\/option><option value=\"MW\" >Malawi<\/option><option value=\"MY\" >Malaysia<\/option><option value=\"MV\" >Maldives<\/option><option value=\"ML\" >Mali<\/option><option value=\"MT\" >Malta<\/option><option value=\"MH\" >Marshall Islands<\/option><option value=\"MQ\" >Martinique<\/option><option value=\"MR\" >Mauritania<\/option><option value=\"MU\" >Mauritius<\/option><option value=\"YT\" >Mayotte<\/option><option value=\"MX\" >Mexico<\/option><option value=\"FM\" >Micronesia (Federated States of)<\/option><option value=\"MD\" >Moldova (Republic of)<\/option><option value=\"MC\" >Monaco<\/option><option value=\"MN\" >Mongolia<\/option><option value=\"ME\" >Montenegro<\/option><option value=\"MS\" >Montserrat<\/option><option value=\"MA\" >Morocco<\/option><option value=\"MZ\" >Mozambique<\/option><option value=\"MM\" >Myanmar<\/option><option value=\"NA\" >Namibia<\/option><option value=\"NR\" >Nauru<\/option><option value=\"NP\" >Nepal<\/option><option value=\"NL\" >Netherlands<\/option><option value=\"NC\" >New Caledonia<\/option><option value=\"NZ\" >New Zealand<\/option><option value=\"NI\" >Nicaragua<\/option><option value=\"NE\" >Niger<\/option><option value=\"NG\" >Nigeria<\/option><option value=\"NU\" >Niue<\/option><option value=\"NF\" >Norfolk Island<\/option><option value=\"MK\" >North Macedonia (Republic of)<\/option><option value=\"MP\" >Northern Mariana Islands<\/option><option value=\"NO\" >Norway<\/option><option value=\"OM\" >Oman<\/option><option value=\"PK\" >Pakistan<\/option><option value=\"PW\" >Palau<\/option><option value=\"PS\" >Palestine (State of)<\/option><option value=\"PA\" >Panama<\/option><option value=\"PG\" >Papua New Guinea<\/option><option value=\"PY\" >Paraguay<\/option><option value=\"PE\" >Peru<\/option><option value=\"PH\" >Philippines<\/option><option value=\"PN\" >Pitcairn<\/option><option value=\"PL\" >Poland<\/option><option value=\"PT\" >Portugal<\/option><option value=\"PR\" >Puerto Rico<\/option><option value=\"QA\" >Qatar<\/option><option value=\"RO\" >Romania<\/option><option value=\"RU\" >Russian Federation<\/option><option value=\"RW\" >Rwanda<\/option><option value=\"RE\" >R\u00e9union<\/option><option value=\"BL\" >Saint Barth\u00e9lemy<\/option><option value=\"SH\" >Saint Helena, Ascension and Tristan da Cunha<\/option><option value=\"KN\" >Saint Kitts and Nevis<\/option><option value=\"LC\" >Saint Lucia<\/option><option value=\"MF\" >Saint Martin (French part)<\/option><option value=\"PM\" >Saint Pierre and Miquelon<\/option><option value=\"VC\" >Saint Vincent and the Grenadines<\/option><option value=\"WS\" >Samoa<\/option><option value=\"SM\" >San Marino<\/option><option value=\"ST\" >Sao Tome and Principe<\/option><option value=\"SA\" >Saudi Arabia<\/option><option value=\"SN\" >Senegal<\/option><option value=\"RS\" >Serbia<\/option><option value=\"SC\" >Seychelles<\/option><option value=\"SL\" >Sierra Leone<\/option><option value=\"SG\" >Singapore<\/option><option value=\"SX\" >Sint Maarten (Dutch part)<\/option><option value=\"SK\" >Slovakia<\/option><option value=\"SI\" >Slovenia<\/option><option value=\"SB\" >Solomon Islands<\/option><option value=\"SO\" >Somalia<\/option><option value=\"ZA\" >South Africa<\/option><option value=\"GS\" >South Georgia and the South Sandwich Islands<\/option><option value=\"SS\" >South Sudan<\/option><option value=\"ES\" >Spain<\/option><option value=\"LK\" >Sri Lanka<\/option><option value=\"SD\" >Sudan<\/option><option value=\"SR\" >Suriname<\/option><option value=\"SJ\" >Svalbard and Jan Mayen<\/option><option value=\"SE\" >Sweden<\/option><option value=\"CH\" >Switzerland<\/option><option value=\"SY\" >Syrian Arab Republic<\/option><option value=\"TW\" >Taiwan, Republic of China<\/option><option value=\"TJ\" >Tajikistan<\/option><option value=\"TZ\" >Tanzania (United Republic of)<\/option><option value=\"TH\" >Thailand<\/option><option value=\"TL\" >Timor-Leste<\/option><option value=\"TG\" >Togo<\/option><option value=\"TK\" >Tokelau<\/option><option value=\"TO\" >Tonga<\/option><option value=\"TT\" >Trinidad and Tobago<\/option><option value=\"TN\" >Tunisia<\/option><option value=\"TM\" >Turkmenistan<\/option><option value=\"TC\" >Turks and Caicos Islands<\/option><option value=\"TV\" >Tuvalu<\/option><option value=\"TR\" >T\u00fcrkiye<\/option><option value=\"UG\" >Uganda<\/option><option value=\"UA\" >Ukraine<\/option><option value=\"AE\" >United Arab Emirates<\/option><option value=\"GB\" >United Kingdom of Great Britain and Northern Ireland<\/option><option value=\"UM\" >United States Minor Outlying Islands<\/option><option value=\"US\" >United States of America<\/option><option value=\"UY\" >Uruguay<\/option><option value=\"UZ\" >Uzbekistan<\/option><option value=\"VU\" >Vanuatu<\/option><option value=\"VA\" >Vatican City State<\/option><option value=\"VE\" >Venezuela (Bolivarian Republic of)<\/option><option value=\"VN\" >Vietnam<\/option><option value=\"VG\" >Virgin Islands (British)<\/option><option value=\"VI\" >Virgin Islands (U.S.)<\/option><option value=\"WF\" >Wallis and Futuna<\/option><option value=\"EH\" >Western Sahara<\/option><option value=\"YE\" >Yemen<\/option><option value=\"ZM\" >Zambia<\/option><option value=\"ZW\" >Zimbabwe<\/option><option value=\"AX\" >\u00c5land Islands<\/option><\/select><label for=\"wpforms-15640-field_76-country\">Country<\/label><label for=\"wpforms-15640-field_98\">Nationality  *<\/label><input type=\"text\" id=\"wpforms-15640-field_98\" name=\"wpforms[fields][98]\" required><label for=\"wpforms-15640-field_94\">Resident *<\/label><\/p>\n<ul id=\"wpforms-15640-field_94\">\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_94_1\" name=\"wpforms[fields][94][]\" value=\"Indian\" required ><label for=\"wpforms-15640-field_94_1\">Indian<\/label><\/li>\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_94_2\" name=\"wpforms[fields][94][]\" value=\"Foreign\" required ><label for=\"wpforms-15640-field_94_2\">Foreign<\/label><\/li>\n<\/ul>\n<p><label for=\"wpforms-15640-field_55\">Passport Size Image *<\/label><br \/>\n\t\t<svg viewBox=\"0 0 1024 1024\" focusable=\"false\" data-icon=\"inbox\" width=\"50px\" height=\"50px\" fill=\"#b1b1b1\" aria-hidden=\"true\">\n\t\t\t<path d=\"M885.2 446.3l-.2-.8-112.2-285.1c-5-16.1-19.9-27.2-36.8-27.2H281.2c-17 0-32.1 11.3-36.9 27.6L139.4 443l-.3.7-.2.8c-1.3 4.9-1.7 9.9-1 14.8-.1 1.6-.2 3.2-.2 4.8V830a60.9 60.9 0 0 0 60.8 60.8h627.2c33.5 0 60.8-27.3 60.9-60.8V464.1c0-1.3 0-2.6-.1-3.7.4-4.9 0-9.6-1.3-14.1zm-295.8-43l-.3 15.7c-.8 44.9-31.8 75.1-77.1 75.1-22.1 0-41.1-7.1-54.8-20.6S436 441.2 435.6 419l-.3-15.7H229.5L309 210h399.2l81.7 193.3H589.4zm-375 76.8h157.3c24.3 57.1 76 90.8 140.4 90.8 33.7 0 65-9.4 90.3-27.2 22.2-15.6 39.5-37.4 50.7-63.6h156.5V814H214.4V480.1z\"><\/path>\n\t\t<\/svg><br \/>\n\t\tClick or drag a file to this area to upload.<br \/>\n<input\n\t\ttype=\"text\"\n\t\tautocomplete=\"off\"\n\t\tclass=\"dropzone-input\"\n\t\tstyle=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\"\n\t\tid=\"wpforms-15640-field_55\"\n\t\tname=\"wpforms_15640_55\" required\t\tvalue=\"\"><br \/>\n<label for=\"wpforms-15640-field_56\">ID proof (Adhaar\/Driver&#039;s License\/Voter&#039;s ID) *<\/label><br \/>\n\t\t<svg viewBox=\"0 0 1024 1024\" focusable=\"false\" data-icon=\"inbox\" width=\"50px\" height=\"50px\" fill=\"#b1b1b1\" aria-hidden=\"true\">\n\t\t\t<path d=\"M885.2 446.3l-.2-.8-112.2-285.1c-5-16.1-19.9-27.2-36.8-27.2H281.2c-17 0-32.1 11.3-36.9 27.6L139.4 443l-.3.7-.2.8c-1.3 4.9-1.7 9.9-1 14.8-.1 1.6-.2 3.2-.2 4.8V830a60.9 60.9 0 0 0 60.8 60.8h627.2c33.5 0 60.8-27.3 60.9-60.8V464.1c0-1.3 0-2.6-.1-3.7.4-4.9 0-9.6-1.3-14.1zm-295.8-43l-.3 15.7c-.8 44.9-31.8 75.1-77.1 75.1-22.1 0-41.1-7.1-54.8-20.6S436 441.2 435.6 419l-.3-15.7H229.5L309 210h399.2l81.7 193.3H589.4zm-375 76.8h157.3c24.3 57.1 76 90.8 140.4 90.8 33.7 0 65-9.4 90.3-27.2 22.2-15.6 39.5-37.4 50.7-63.6h156.5V814H214.4V480.1z\"><\/path>\n\t\t<\/svg><br \/>\n\t\tClick or drag a file to this area to upload.<br \/>\n<input\n\t\ttype=\"text\"\n\t\tautocomplete=\"off\"\n\t\tclass=\"dropzone-input\"\n\t\tstyle=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\"\n\t\tid=\"wpforms-15640-field_56\"\n\t\tname=\"wpforms_15640_56\" required\t\tvalue=\"\"><br \/>\n<label for=\"wpforms-15640-field_57\">Passport (For International Students) *<\/label><br \/>\n\t\t<svg viewBox=\"0 0 1024 1024\" focusable=\"false\" data-icon=\"inbox\" width=\"50px\" height=\"50px\" fill=\"#b1b1b1\" aria-hidden=\"true\">\n\t\t\t<path d=\"M885.2 446.3l-.2-.8-112.2-285.1c-5-16.1-19.9-27.2-36.8-27.2H281.2c-17 0-32.1 11.3-36.9 27.6L139.4 443l-.3.7-.2.8c-1.3 4.9-1.7 9.9-1 14.8-.1 1.6-.2 3.2-.2 4.8V830a60.9 60.9 0 0 0 60.8 60.8h627.2c33.5 0 60.8-27.3 60.9-60.8V464.1c0-1.3 0-2.6-.1-3.7.4-4.9 0-9.6-1.3-14.1zm-295.8-43l-.3 15.7c-.8 44.9-31.8 75.1-77.1 75.1-22.1 0-41.1-7.1-54.8-20.6S436 441.2 435.6 419l-.3-15.7H229.5L309 210h399.2l81.7 193.3H589.4zm-375 76.8h157.3c24.3 57.1 76 90.8 140.4 90.8 33.7 0 65-9.4 90.3-27.2 22.2-15.6 39.5-37.4 50.7-63.6h156.5V814H214.4V480.1z\"><\/path>\n\t\t<\/svg><br \/>\n\t\tClick or drag a file to this area to upload.<br \/>\n<input\n\t\ttype=\"text\"\n\t\tautocomplete=\"off\"\n\t\tclass=\"dropzone-input\"\n\t\tstyle=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\"\n\t\tid=\"wpforms-15640-field_57\"\n\t\tname=\"wpforms_15640_57\" required\t\tvalue=\"\"><br \/>\n<label for=\"wpforms-15640-field_58\">Visa (For International Students)<\/label><br \/>\n\t\t<svg viewBox=\"0 0 1024 1024\" focusable=\"false\" data-icon=\"inbox\" width=\"50px\" height=\"50px\" fill=\"#b1b1b1\" aria-hidden=\"true\">\n\t\t\t<path d=\"M885.2 446.3l-.2-.8-112.2-285.1c-5-16.1-19.9-27.2-36.8-27.2H281.2c-17 0-32.1 11.3-36.9 27.6L139.4 443l-.3.7-.2.8c-1.3 4.9-1.7 9.9-1 14.8-.1 1.6-.2 3.2-.2 4.8V830a60.9 60.9 0 0 0 60.8 60.8h627.2c33.5 0 60.8-27.3 60.9-60.8V464.1c0-1.3 0-2.6-.1-3.7.4-4.9 0-9.6-1.3-14.1zm-295.8-43l-.3 15.7c-.8 44.9-31.8 75.1-77.1 75.1-22.1 0-41.1-7.1-54.8-20.6S436 441.2 435.6 419l-.3-15.7H229.5L309 210h399.2l81.7 193.3H589.4zm-375 76.8h157.3c24.3 57.1 76 90.8 140.4 90.8 33.7 0 65-9.4 90.3-27.2 22.2-15.6 39.5-37.4 50.7-63.6h156.5V814H214.4V480.1z\"><\/path>\n\t\t<\/svg><br \/>\n\t\tClick or drag a file to this area to upload.<br \/>\n<input\n\t\ttype=\"text\"\n\t\tautocomplete=\"off\"\n\t\tclass=\"dropzone-input\"\n\t\tstyle=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\"\n\t\tid=\"wpforms-15640-field_58\"\n\t\tname=\"wpforms_15640_58\" \t\tvalue=\"\"><\/p>\n<h3 id=\"wpforms-15640-field_80\" name=\"wpforms[fields][80]\">About Yoga<\/h3>\n<p><label for=\"wpforms-15640-field_59\">Course to be enrolled for *<\/label><\/p>\n<ul id=\"wpforms-15640-field_59\">\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_59_1\" name=\"wpforms[fields][59][]\" value=\"TTC Level 1 \" required ><label for=\"wpforms-15640-field_59_1\">TTC Level 1 <\/label><\/li>\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_59_2\" name=\"wpforms[fields][59][]\" value=\"TTC Level 2\" required ><label for=\"wpforms-15640-field_59_2\">TTC Level 2<\/label><\/li>\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_59_3\" name=\"wpforms[fields][59][]\" value=\"RPYT\" required ><label for=\"wpforms-15640-field_59_3\">RPYT<\/label><\/li>\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_59_4\" name=\"wpforms[fields][59][]\" value=\"Mysore Style  \" required ><label for=\"wpforms-15640-field_59_4\">Mysore Style  <\/label><\/li>\n<\/ul>\n<p><label for=\"wpforms-15640-field_96\">Course Style *<\/label><\/p>\n<ul id=\"wpforms-15640-field_96\" data-choice-limit=\"1\">\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_96_1\" data-rule-check-limit=\"true\" name=\"wpforms[fields][96][]\" value=\"Hatha\" required ><label for=\"wpforms-15640-field_96_1\">Hatha<\/label><\/li>\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_96_2\" data-rule-check-limit=\"true\" name=\"wpforms[fields][96][]\" value=\"Ashtanga\u00a0Vinyasa\" required ><label for=\"wpforms-15640-field_96_2\">Ashtanga\u00a0Vinyasa<\/label><\/li>\n<\/ul>\n<p><label for=\"wpforms-15640-field_84\">Timings<\/label><\/p>\n<ul id=\"wpforms-15640-field_84\">\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_84_1\" name=\"wpforms[fields][84][]\" value=\"6:00 - 7:30 Am\"  ><label for=\"wpforms-15640-field_84_1\">6:00 &#8211; 7:30 Am<\/label><\/li>\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_84_2\" name=\"wpforms[fields][84][]\" value=\"5:00 - 6:00 Pm\"  ><label for=\"wpforms-15640-field_84_2\">5:00 &#8211; 6:00 Pm<\/label><\/li>\n<\/ul>\n<p><label for=\"wpforms-15640-field_60\">For the month of? *<\/label><\/p>\n<ul id=\"wpforms-15640-field_60\" data-choice-limit=\"1\">\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_60_1\" data-rule-check-limit=\"true\" name=\"wpforms[fields][60][]\" value=\"January\" required ><label for=\"wpforms-15640-field_60_1\">January<\/label><\/li>\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_60_2\" data-rule-check-limit=\"true\" name=\"wpforms[fields][60][]\" value=\"February \" required ><label for=\"wpforms-15640-field_60_2\">February <\/label><\/li>\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_60_3\" data-rule-check-limit=\"true\" name=\"wpforms[fields][60][]\" value=\"March\" required ><label for=\"wpforms-15640-field_60_3\">March<\/label><\/li>\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_60_4\" data-rule-check-limit=\"true\" name=\"wpforms[fields][60][]\" value=\"April\" required ><label for=\"wpforms-15640-field_60_4\">April<\/label><\/li>\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_60_5\" data-rule-check-limit=\"true\" name=\"wpforms[fields][60][]\" value=\"May\" required ><label for=\"wpforms-15640-field_60_5\">May<\/label><\/li>\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_60_6\" data-rule-check-limit=\"true\" name=\"wpforms[fields][60][]\" value=\"June\" required ><label for=\"wpforms-15640-field_60_6\">June<\/label><\/li>\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_60_7\" data-rule-check-limit=\"true\" name=\"wpforms[fields][60][]\" value=\"July\" required ><label for=\"wpforms-15640-field_60_7\">July<\/label><\/li>\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_60_8\" data-rule-check-limit=\"true\" name=\"wpforms[fields][60][]\" value=\"August\" required ><label for=\"wpforms-15640-field_60_8\">August<\/label><\/li>\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_60_9\" data-rule-check-limit=\"true\" name=\"wpforms[fields][60][]\" value=\"September\" required ><label for=\"wpforms-15640-field_60_9\">September<\/label><\/li>\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_60_10\" data-rule-check-limit=\"true\" name=\"wpforms[fields][60][]\" value=\"October\" required ><label for=\"wpforms-15640-field_60_10\">October<\/label><\/li>\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_60_11\" data-rule-check-limit=\"true\" name=\"wpforms[fields][60][]\" value=\"November\" required ><label for=\"wpforms-15640-field_60_11\">November<\/label><\/li>\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_60_12\" data-rule-check-limit=\"true\" name=\"wpforms[fields][60][]\" value=\"December\" required ><label for=\"wpforms-15640-field_60_12\">December<\/label><\/li>\n<\/ul>\n<p><label for=\"wpforms-15640-field_61\">Have you been trained under any Indea Yoga teacher before? *<\/label><\/p>\n<ul id=\"wpforms-15640-field_61\">\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_61_1\" name=\"wpforms[fields][61][]\" value=\"Yes\" required ><label for=\"wpforms-15640-field_61_1\">Yes<\/label><\/li>\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_61_4\" name=\"wpforms[fields][61][]\" value=\"No\" required ><label for=\"wpforms-15640-field_61_4\">No<\/label><\/li>\n<\/ul>\n<p><label for=\"wpforms-15640-field_62\">Your teacher&#039;s name? *<\/label><input type=\"text\" id=\"wpforms-15640-field_62\" name=\"wpforms[fields][62]\" required><label for=\"wpforms-15640-field_63\">Past yoga Experience (practice) (in number of years) *<\/label><\/p>\n<ul id=\"wpforms-15640-field_63\">\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_63_1\" name=\"wpforms[fields][63][]\" value=\"- 6 months\" required ><label for=\"wpforms-15640-field_63_1\">&#8211; 6 months<\/label><\/li>\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_63_2\" name=\"wpforms[fields][63][]\" value=\"&gt; 6 months\" required ><label for=\"wpforms-15640-field_63_2\">&gt; 6 months<\/label><\/li>\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_63_3\" name=\"wpforms[fields][63][]\" value=\"&gt; 1 year\" required ><label for=\"wpforms-15640-field_63_3\">&gt; 1 year<\/label><\/li>\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_63_4\" name=\"wpforms[fields][63][]\" value=\"&gt; 2 years\" required ><label for=\"wpforms-15640-field_63_4\">&gt; 2 years<\/label><\/li>\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_63_5\" name=\"wpforms[fields][63][]\" value=\"&gt; 5 years\" required ><label for=\"wpforms-15640-field_63_5\">&gt; 5 years<\/label><\/li>\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_63_6\" name=\"wpforms[fields][63][]\" value=\"&gt; 10 years\" required ><label for=\"wpforms-15640-field_63_6\">&gt; 10 years<\/label><\/li>\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_63_7\" name=\"wpforms[fields][63][]\" value=\"No experience\" required ><label for=\"wpforms-15640-field_63_7\">No experience<\/label><\/li>\n<\/ul>\n<p><label for=\"wpforms-15640-field_97\">Write About Your Yoga Practice *<\/label><input type=\"text\" id=\"wpforms-15640-field_97\" name=\"wpforms[fields][97]\" required><label for=\"wpforms-15640-field_64\">Prior Teaching Experience *<\/label><\/p>\n<ul id=\"wpforms-15640-field_64\">\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_64_1\" name=\"wpforms[fields][64][]\" value=\"- 6 months\" required ><label for=\"wpforms-15640-field_64_1\">&#8211; 6 months<\/label><\/li>\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_64_2\" name=\"wpforms[fields][64][]\" value=\"&gt; 6 months\" required ><label for=\"wpforms-15640-field_64_2\">&gt; 6 months<\/label><\/li>\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_64_3\" name=\"wpforms[fields][64][]\" value=\"&gt; 1 year\" required ><label for=\"wpforms-15640-field_64_3\">&gt; 1 year<\/label><\/li>\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_64_4\" name=\"wpforms[fields][64][]\" value=\"&gt; 2 years\" required ><label for=\"wpforms-15640-field_64_4\">&gt; 2 years<\/label><\/li>\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_64_5\" name=\"wpforms[fields][64][]\" value=\"&gt; 5 years\" required ><label for=\"wpforms-15640-field_64_5\">&gt; 5 years<\/label><\/li>\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_64_6\" name=\"wpforms[fields][64][]\" value=\"&gt; 10 years\" required ><label for=\"wpforms-15640-field_64_6\">&gt; 10 years<\/label><\/li>\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_64_7\" name=\"wpforms[fields][64][]\" value=\"No experience\" required ><label for=\"wpforms-15640-field_64_7\">No experience<\/label><\/li>\n<\/ul>\n<p><label for=\"wpforms-15640-field_65\">Your goals\/Sankalpa<\/label><input type=\"text\" id=\"wpforms-15640-field_65\" name=\"wpforms[fields][65]\" placeholder=\"I want to learn yoga to be healthy I want to be a better teacher\" ><\/p>\n<h3 id=\"wpforms-15640-field_79\" name=\"wpforms[fields][79]\">Medical History<\/h3>\n<p><label for=\"wpforms-15640-field_99\">Chronic illnesses<\/label><\/p>\n<ul id=\"wpforms-15640-field_99\">\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_99_1\" name=\"wpforms[fields][99][]\" value=\"High\/Low BP\"  ><label for=\"wpforms-15640-field_99_1\">High\/Low BP<\/label><\/li>\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_99_2\" name=\"wpforms[fields][99][]\" value=\"Diabetes\"  ><label for=\"wpforms-15640-field_99_2\">Diabetes<\/label><\/li>\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_99_3\" name=\"wpforms[fields][99][]\" value=\"Arthritis\"  ><label for=\"wpforms-15640-field_99_3\">Arthritis<\/label><\/li>\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_99_4\" name=\"wpforms[fields][99][]\" value=\"Heart Disease\"  ><label for=\"wpforms-15640-field_99_4\">Heart Disease<\/label><\/li>\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_99_5\" name=\"wpforms[fields][99][]\" value=\"Asthama\/Breathing Issues\"  ><label for=\"wpforms-15640-field_99_5\">Asthama\/Breathing Issues<\/label><\/li>\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_99_6\" name=\"wpforms[fields][99][]\" value=\"Thyroid\"  ><label for=\"wpforms-15640-field_99_6\">Thyroid<\/label><\/li>\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_99_7\" name=\"wpforms[fields][99][]\" value=\"Kidney Issues\"  ><label for=\"wpforms-15640-field_99_7\">Kidney Issues<\/label><\/li>\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_99_8\" name=\"wpforms[fields][99][]\" value=\"Depression\/Anxiety\"  ><label for=\"wpforms-15640-field_99_8\">Depression\/Anxiety<\/label><\/li>\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_99_9\" name=\"wpforms[fields][99][]\" value=\"Others\"  ><label for=\"wpforms-15640-field_99_9\">Others<\/label><\/li>\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_99_10\" name=\"wpforms[fields][99][]\" value=\"None\"  ><label for=\"wpforms-15640-field_99_10\">None<\/label><\/li>\n<\/ul>\n<p><input type=\"text\" id=\"wpforms-15640-field_68\" name=\"wpforms[fields][68]\" required><label for=\"wpforms-15640-field_69\">Describe your present ailments\/disorders (mental and physical)<\/label><input type=\"text\" id=\"wpforms-15640-field_69\" name=\"wpforms[fields][69]\" ><label for=\"wpforms-15640-field_70\">Accidents\/injuries<\/label><input type=\"text\" id=\"wpforms-15640-field_70\" name=\"wpforms[fields][70]\" ><label for=\"wpforms-15640-field_71\">Current Medications<\/label><input type=\"text\" id=\"wpforms-15640-field_71\" name=\"wpforms[fields][71]\" ><label for=\"wpforms-15640-field_72\">Other health-related issues\/concerns<\/label><textarea id=\"wpforms-15640-field_72\" name=\"wpforms[fields][72]\" ><\/textarea><\/p>\n<h3 id=\"wpforms-15640-field_78\" name=\"wpforms[fields][78]\">Additional Information<\/h3>\n<p><label for=\"wpforms-15640-field_73\">Emergency Contact Name *<\/label><input type=\"text\" id=\"wpforms-15640-field_73\" name=\"wpforms[fields][73]\" required><label for=\"wpforms-15640-field_74\">Relationship *<\/label><\/p>\n<ul id=\"wpforms-15640-field_74\">\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_74_1\" name=\"wpforms[fields][74][]\" value=\"Father\" required ><label for=\"wpforms-15640-field_74_1\">Father<\/label><\/li>\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_74_2\" name=\"wpforms[fields][74][]\" value=\"Mother\" required ><label for=\"wpforms-15640-field_74_2\">Mother<\/label><\/li>\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_74_3\" name=\"wpforms[fields][74][]\" value=\"Spouse\" required ><label for=\"wpforms-15640-field_74_3\">Spouse<\/label><\/li>\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_74_4\" name=\"wpforms[fields][74][]\" value=\"Child\" required ><label for=\"wpforms-15640-field_74_4\">Child<\/label><\/li>\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_74_5\" name=\"wpforms[fields][74][]\" value=\"Relative\" required ><label for=\"wpforms-15640-field_74_5\">Relative<\/label><\/li>\n<\/ul>\n<p><label for=\"wpforms-15640-field_75\">Contact Number<\/label><input type=\"tel\" id=\"wpforms-15640-field_75\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][75]\" ><label for=\"wpforms-15640-field_43\">Terms and Conditions<\/label><\/p>\n<ul id=\"wpforms-15640-field_43\">\n<li><input type=\"checkbox\" id=\"wpforms-15640-field_43_1\" name=\"wpforms[fields][43][]\" value=\"I have read and agree to the Terms &amp; Conditions listed below\"  ><label for=\"wpforms-15640-field_43_1\">I have read and agree to the Terms &amp; Conditions listed below<\/label><\/li>\n<\/ul>\n<p><strong style=\"font-size:15px; color:#000000;\">* Before registration students must ensure that they meet the minimum prerequisites for the applied course.<\/p>\n<p>*\u00a0The deposit is non-refundable. In case of an emergency, You may postpone your booking fee to another month within a year of the application date.  Before your postponement is processed, you must reconfirm the available date with us. This is allowed one time per person. This must be done at least 2 months before the start date\u00a0of\u00a0your\u00a0course.<\/p>\n<p>\u00a0* The payer as to bear if any transaction fee levied bank.<\/p>\n<p>* Students are responsible for travel arrangements ( we could arrange a cab facility with additional cost)<\/p>\n<p>* Bharatha Yoga reserves the right to refuse admission to trainings, workshops or retreats.<\/p>\n<p>* Discuss the course you are interested in before registration.<\/p>\n<p>* Course balance to be paid at the time of registration before the course starts.<\/p>\n<p>* Please join the course only if you are really interested and belief in the system of Bharatha Yoga.<\/p>\n<p>* Mandatory Dress Code \u2013 Moderate.<\/p>\n<p>* Maintain Silence in the institution premises.<\/p>\n<p>* A decent and dignified behavior is expected from all students. Once inside the premises, loud speaking, hugging your partner, speaking indecent words and the practice of other systems are strictly prohibited.<\/p>\n<p>* Be Regular &#038; Punctual. Follow the class timings precisely. Delay of more than two classes in a month will lead to their dismissal.<\/p>\n<p>* In case you are unable to attend your class, please inform us well in advance.<\/p>\n<p>* No any kind of disobedience is allowed.<\/p>\n<p>* All doubts, questions, complaints, suggestions etc. should be discussed with teacher in a polite way at an appropriate time.<\/p>\n<p>* Do not talk during the class. Leave the practice room within 5 minutes after finishing your class.<\/p>\n<p>* Please do not touch your teacher for any reason or use their belongings in any way.<\/p>\n<p>* Respect your teacher &#038; course mates during &#038; after the class.<\/p>\n<p>* Students must ensure the protection of Bharatha Yoga\u2019s copyrights.<\/p>\n<p>* Student shall neither distribute nor permit a third party to copy or distribute any of Bharatha Yoga\u2019s Training materials.<\/p>\n<p>* Student is not authorized to re-sell seats of Bharatha Yoga\u2019s Training Program\u2019s.<\/p>\n<p>* Bharatha Yoga reserves the right to disconnect students who permit access to unregistered students.<\/p>\n<p>* Bharatha Yoga assumes no responsibility for losses from nonrefundable travel arrangement resulting from denial of a student\u2019s participation due to any reason.<\/p>\n<p>* Duplicate copy of RYT Certificate will cost $100 with a request letter.<\/p>\n<p>* If I am not abiding by these terms, the Director of Bharatha Yoga reserves the right to take action. I am happy &#038; understood. By clicking Submit you agree to our Terms\u00a0and\u00a0Condition<\/strong><br \/>\n<input type=\"hidden\" name=\"wpforms[id]\" value=\"15640\">\t\t\t<input\n\t\t\t\ttype=\"hidden\"\n\t\t\t\tname=\"wpforms[nonce]\"\n\t\t\t\tvalue=\"448519f0c5\"\n\t\t\t\/><br \/>\n\t\t\t<input type=\"hidden\" name=\"wpforms[author]\" value=\"1\"><br \/>\n\t\t<input type=\"hidden\" id=\"hcaptcha_wpforms_nonce\" name=\"hcaptcha_wpforms_nonce\" value=\"e350d0dc8f\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/wp-admin\/admin-ajax.php\" \/><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-15640\" data-alt-text=\"Sending...\" data-submit-text=\"Register\" aria-live=\"assertive\" value=\"wpforms-submit\">Register<\/button><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/bharatha.org\/staging\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/form>\n<p>  <!-- .wpforms-container --><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Please enable JavaScript in your browser to complete this form. Basic Information Name *FirstLastEmail *Whatsapp Number *Date of Birth *DD12345678910111213141516171819202122232425262728293031\/MM123456789101112\/YYYY20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Age<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-12587","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/bharatha.org\/staging\/wp-json\/wp\/v2\/pages\/12587","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bharatha.org\/staging\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/bharatha.org\/staging\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/bharatha.org\/staging\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/bharatha.org\/staging\/wp-json\/wp\/v2\/comments?post=12587"}],"version-history":[{"count":8,"href":"https:\/\/bharatha.org\/staging\/wp-json\/wp\/v2\/pages\/12587\/revisions"}],"predecessor-version":[{"id":15732,"href":"https:\/\/bharatha.org\/staging\/wp-json\/wp\/v2\/pages\/12587\/revisions\/15732"}],"wp:attachment":[{"href":"https:\/\/bharatha.org\/staging\/wp-json\/wp\/v2\/media?parent=12587"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}