Your Name (*) Father's Name (*) Your Email (*) Mobile (*) Age (*) Address (*) Declaration * (if you agree then check this box.) I am participating in this world record attempt conducted by VVKI (The Art of Living) on my own and I take full responsibility for participating in this program. I release Vyakti Vikas Kendra, all organizers and assistants in this program from all damages whatsoever and waive all right to compensation in case of injury. I am physically and mentally able to participate in this program. OR Declaration (in case of minor participant) I ___________________________the parent/legal guardian of the child, named____________________ who is participating in this world record attempt conducted by VVKI (The Art of Living), hereby declare that I take full responsibility for participation of the minor child in this world record attempt. I release Vyakti Vikas Kendra, all organizers and assistants in this program from all damages whatsoever and waive all right to compensation in case of injury. The child is physically and mentally able to participate in this program. Contact: Mrs. Neelima Jain - 8770776459 Mr. Vinod Chhetija - 7000827697 Note: (if you agree with declaration then SUBMIT button is enable.)