India Retreat 2019 Registration - YOGARAMA

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Corporate Wellness
OUR COMMUNITY
- Blog
- Newsletter
- Media
- Our Gifts
About Us
- Our Teachers
Contact Us

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INDIA IMMERSION 2019

YOGARAMA INDIA RETREAT
Please complete both forms below to register for the Retreat

Medical Emergency Form for India Retreat October 2019:

* Indicates required field

Full Name *

First

Last

[object Object]

Age *

Please indicate the age of your child as of 1 July 2014

Phone Number *

Please provide mobile contact

Email *

Emergency Contact (Name, Mobile, Relationship) *

Submit

About You

* Indicates required field

Email *

Do you have any medical condition/s? *

Heart condition Thyroid condition Mental Health Diabetes Injury No Medical conditions Other Medical Condition

If you have a medical condition not listed here and if you would like to talk about any medical condition - please contact me- email/phone call.

What Would You Like to Get Out Of The Retreat *

Relaxation and Rejuvenation Deeper Yoga Practice Learn a Meditation Practice Healthy Vegetarian Food Being in Nature and Hikes/Walks Better Health and Wellness Explore incredible India Advanced meditation teacher training Other

You can choose more than one option

Submit

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