Registration Form Name of Delegate/Patient Email Age Sex Male Female TransGender Whatsapp no. Contact No. Address Who can Attempt This Physiotherepist (Fees - 500) Medical Practitioner (Fees - 500) Cerebral Palsy Patient (Fees - 1,100) City State Payment Mode (Payment online and Please Share/Uplode Receipt Here) Send Fees Charges: Physiotherapists – 500 ChargesMedical – 500 ChargesCerebral Palsy Patient – 1100 ChargesGpay & phone pay number – 9636634444NOTE:First You Pay the Fees For Your Treatment then uplode Receipt on Form Section. Gpay, Phone Pay, Paytm :- 9636634444