Surya Kriya Program Registration

Surya Kriya Program Registration

Please fill out this form to register. Registration will be confirmed after payment (sent via whatsapp).
When? Oct 9, 10 & 11, 2026 | 4:00 – 6:00 PM each day

Where? Layla Yoga Garden, Chiang Mai

Investment: 3,300 THB | Attendance for all 3 sessions is mandatory

Payment details will be sent via WhatsApp after registration is confirmed.

Cancellation: Full refund 7+ days before. No refunds within 7 days, but transferable.

Class limited to 12 students. Registrations on a first come, first serve basis.

Questions? rasika.sethi@gmail.com | WhatsApp: +66818398450
Personal Details
Full Name

First NameLast Name
Age
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Whatsapp Number

Area CodePhone Number
Email Address
example@example.com
Emergency Contact Name
Relationship to Emergency Contact
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Yoga Background
How did you come to know about this program?
Which of the following programs have you attended?

Other
Please share any other yoga or meditation program you have attended.
Health Information
In case of any health condition, this information can help us to support your personal needs during the program. This information is strictly confidential. If required, we can discuss your needs in more detail before the workshop.
Please indicate if you currently have or have previously had any of the following conditions:

Other
If you checked any conditions above, please provide details — including the nature and duration of the condition, and whether you are currently undergoing any treatment:
Current pregnancy
Major surgery in the last 6 months or laparoscopic surgery in the last 6 weeks
Terms and Conditions: I hereby willingly agree to attend this program completely, including all 3 sessions. I take full responsibility for the result and indemnify the organizers against all claims and suits. I will not communicate the contents of the program, either directly or indirectly, to anyone else. I declare that the information provided above, including medical conditions, is true, accurate, and complete to the best of my knowledge. I understand the participation guidelines and agree to follow them. I understand that if in doubt, I should consult my doctor before proceeding with any of the practices taught.
I agree to the Terms and Conditions above
Is there anything else you would like us to know?
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Surya Kriya Program Registration

Personal Details

Yoga Background

Health Information