Dynamics of Ayurvedic Nutrition: Adapt Recipes for Individual and Cultural Needs

Dynamics of Ayurvedic Nutrition: Adapt Recipes for Individual and Cultural Needs, Nov. 2 & 9, 2022

Registration Form
Participant Name*

First Name Middle Name Last Name
Birth Date*

Month Day Year
Address*

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
E-mail address*
example@example.com
Phone Number*
Choose which course you are registering for:*

11 am to 1 pm MDT5:30 to 7:30 pm MDT
Check if you are taking this course for:

PACE credits from the National Ayurvedic Medicine Association
Check to receive email updates

Email opt-in
Refund Policy: There are no refunds.

Confidentiality Clause:

Participant agrees to keep confidential any and all information shared or discussed (written or otherwise) given or received by instructor or other participants.

Media Release: You give your permission to have your picture(s), images, voice, written or spoken word reproduced for quality assurance.

Your registration confirms that you agree to all of the above.

Cost: Suggested Donation $250; people have given more and less. Reflect on what makes sense for you.

Click on “DONATE” to make your payment and activate your registration.

Sponsored by: Ayurveda Polarity Therapy & Yoga Institute
Enter your Donation below.

prevnext( X )
USDDescription
Should be Empty:

Dynamics of Ayurvedic Nutrition: Adapt Recipes for Individual and Cultural Needs, Nov. 2 & 9, 2022