India Retreat Info Event Registration - YOGARAMA

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INDIAN IMMERSION AND YOGA RETREAT REGISTRATION FORM
Please complete both forms below to register for the INDIA IMMERSION and YOGA RETREAT.

REGISTRATION FOR INDIA IMMERSION AND YOGA RETREAT INFORMATION EVENT

* Indicates required field

Full Name *

First

Last

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Age *

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

Phone Number *

Please provide mobile contact

Email *

How did you find out about this India Tour & Retreat *

Please pay directly from your Bank Account to our St George Bank Account, Yogarama (details below).

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About Your Health

* Indicates required field

Name *

Yoga and Meditation Experience *

Yoga is of interest to me Practise yoga once a week Daily yoga practise is part of my routine Meditation is of interest to me Practise meditation a few times Daily meditation is a ritual for my health and wellness I'm keen to explore yoga & meditation for my health I have a medical condition and yoga is recommended

What is your calling to India ? *

Discover India and its Ancient Culture Deepen My Yoga Practice or Begin My Practice Explore Mindful Meditation Practice Better Health & Understanding of Ayurveda Medicine Connect with Like Minded Women on this Indian Immersion Relax and Rejuvenate on an India Yoga Retreat

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