Meditation: From Stress to Absolute Wellness

Meditation: From Stress to Absolute Wellness

By Dr. R S Bhogal at Kaivalyadhama Lonavala. (On submission of the form you will be redirected to the room booking link)
Workshop Name*
Select Dates*
How many people are you registering for the workshop?
First Registrant Name

First NameLast Name
Gender
Second Registrant Name

First NameLast Name
Gender
Full Name*

First NameLast Name
Gender*
Age*
(In Years)
Address for Communication*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
Phone Number*

Area CodePhone Number
Select Accommodation (Single)
Prices inclusive of meals
Select Accommodation (Double)
Prices inclusive of meals
Reason for attending this workshop*

Personal InterestSubject is related to your field of work or studyOthers
Explain your background in yoga
Present complaints/Health Problems
Past history of any health issues
Medical and surgical history
Details of medicines & surgery
Comments/Remarks
*
Should be Empty: