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Membership Form - Shri Sanjivani Wellness Foundation

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Personal Information

First Name *

Please enter your first name

Last Name *

Please enter your last name

Email Address *

Please enter a valid email address

Phone Number *

Please enter your phone number

Date of Birth *

Please enter your date of birth

Gender *

Male

Female

Other

Please select your gender

Address *

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City *

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State *

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Pin Code *

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Membership Selection

Basic

Access to wellness workshops

Monthly newsletter

10% discount on events

Premium

All Basic benefits

Free yoga classes (2/week)

Personal wellness consultation

20% discount on events

Lifetime

All Premium benefits

Lifetime access to all facilities

Priority event registration

Special recognition at events

Please select a membership type

Health Information

Do you have any health conditions we should be aware of?

How did you hear about us?

Terms and Conditions

Membership Agreement

By becoming a member of Shri Sanjivani Wellness Foundation, you agree to abide by our code of conduct and policies.

Members are expected to participate respectfully in all foundation activities and events.

Personal information provided will be kept confidential and used only for foundation-related communications.

The foundation reserves the right to revoke membership for any violation of our policies or code of conduct.

I have read and agree to the terms and conditions *

You must agree to the terms and conditions

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