A Blessed Child Consent Form Name Date of Birth Spouse Name Gender MaleFemale Date of Marriage Blood Group Height Weight No. of Children 012345 Religion Languages Known Occupation Mobile Email Address City / District State / Country If already in the family way, please indicate no. of weeks completed Family Type Nuclear Family Joint Family Food Type Vegetarian Non-Vegetarian Alcohol Use Alcohol Tobacco Other Have you been practicing Asana & Pranayama yes No Have you been practicing Meditation yes No Physical / Health issues, if any Have you attended a similar program in past? if yes, please give details Send