Name *

First Name

Last Name

Phone *

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###

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Date of Birth

For Vedic Astrology Chart

MM

DD

YYYY

Current practices *

Do you currently practice any of the following?

Prānayāma & Meditation

Asana

Kriya Yoga

Mudras

Dinacharya

Payment plan *

Please choose one payment plan:

Full Tuition Payment ($6,500)

$250 per weekend module

Payment options *

Please choose a payment option:

Zelle (US Only)

Venmo (US Only)

Revolut App (EU Only)

Bank Transfer (US)

Bank Transfer (EU)

Credit Card (with 5% convenience fee)

*

I understand that if accepted a non-refundable enrollment deposit of $500 is required to secure my place in the training.

I acknowledge that the remaining tuition must be paid in full one week prior to the program start date (unless on a payment plan).

I understand that this training may include physical movement, breathwork, and emotional exploration, and I take full responsibility for my health and wellbeing during the program.

I agree to inform the instructors of any injuries or conditions that may affect my participation.

I understand that all shared information is confidential and treated with respect.

I have read and agree to the program’s cancellation, refund, and payment policies.

I agree to conduct myself respectfully and ethically during the program in alignment with yogic principles.

I understand that a non-refundable application fee of $25 is required to process my application. I acknowledge that my application will only be considered after payment is received.

I agree to the Certification & Graduation Requirements as outlined at beginning of this application.

Date *

MM

DD

YYYY