Vedic
Meditation
Registration

When you join me on retreat, youʼll feel so  deeply rested that a few days on retreat will feel  like youʼve just returned from a months-long  sabbatical. You will discover a renewed mind, body, and spirit connection enhancing your adaptability, resiliency, and happiness upon your return to everyday life.

Vedic Meditation Course Registration

"*" indicates required fields

Name

This field is for validation purposes and should be left unchanged.

Which Course Are You Registering For Today?*

New York City: Thursday, September 17 – Sunday, September 20

Los Angeles: Monday, October 5 – Thursday, October 8

New York City: Monday, October 26 – Thursday, October 29

Los Angeles: Monday, November 16 – Thursday, November 19

First Name*

Last Name*

Email*

Phone Number*

Date of Birth*

AGE*

Occupation*

Emergency Contact (full name, relationship to you, phone number)*

HAVE YOU ATTENDED AN INTRODUCTORY TALK?*

Yes

Please contact me to schedule one

CAN YOU ATTEND ALL FOUR DAYS OF THE COURSE?*

Yes

ARE YOU UNDER REGULAR CARE OF A MEDICAL PRACTITIONER?*

PLEASE LIST ANY PRESCRIBED OR SELF-PRESCRIBED MEDICATIONS YOU ARE CURRENTLY TAKING*

Course Investment

DO YOU HAVE ANY ADDITIONAL COMMENTS?

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Credit Card*

Card Details

Cardholder Name

Vedic Meditation Registration

Vedic Meditation Course Registration

Vedic
Meditation
Registration