JKYog Spiritual Retreat & Hindu Family Camp 2023

Personal Information

• * First Name:
• * Last Name:
• * Email Address:
• * Confirm Email Address:
• * Cell Phone:
• * Address 1:
• * City:
• * State
• * Country: --Choose-- United States Canada -------------- Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, Democratic Republic of Cook Islands Costa Rica Cote D'Ivoire Croatia Curaçao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guyana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory, Occupied Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Barthelemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin (French Part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch Part) Slovakia Slovenia Solomon Islands Somalia South Africa South Korea South Sudan Spain Sri Lanka Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom Uruguay Uzbekistan Vanuatu Venezuela Viet Nam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe
• * ZIP Code:

• Promo Code

  Enter Code: Apply

• Fee

  Type	Fee
  Registration Fees per person $250.00 after Friday, April 28, 2023	$175.00

Additional Information

• *

  Gender

  • Male
  • Female
• * Age
• * How did you come to know about the program ? --Choose-- Online Session Email WhatsApp Word of Mouth Facebook EkNazar or Sulekha Social Media Other
• Comments

Other Interested Family Member

You may add a maximum of 6

Liability Disclaimer

• 1. Jagadguru Kripaluji Yog, a non-profit organization, its third party providers, volunteers, officers, and distributors make no representations, warranties, guarantees or conditions of any kind, express or implied, regarding the yoga and meditation sessions, or any content or materials provided on the Program, or your practice of Jagadguru Kripaluji Yog or of any services provided through Jagadguru Kripaluji Yog organization or otherwise by Jagadguru Kripaluji Yog, all of which are provided on an "as is" basis.

• 2. I ACKNOWLEDGE AND AGREE that the participation of any program, including participation in the yoga and meditation program has inherent risks. I have full knowledge of the nature and extent of all risks associated with yoga, meditaion, and pranayam/breathing exercise. I assume all risks and hazards to incidental to the conduct of the activities. Retreat Registration Fee is non-refundable.

• I give permission for photographs taken at Jagadguru Kripaluji Yog Program may be used for publicity purposes. By registering, you are agreeing to the terms mentioned above.