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Kaya Kalpa Yoga - Immortal Body Workshop Registration Form
Please fill out this registration form for the Kaya Kalpa Yoga Workshop. Please fill up separately for EACH participant. Once you submit details for one person, you can submit another response.
When: Sunday, January 14th 2018, 8 am to 11 am
My name is
Mail me at
Please provide your Email ID
Call me at
Please provide your mobile number (without +91 or 0)
I or we would like to contribute
Rs. 2000 - For a couple (Early Bird Discount on Rs. 3000 until Dec 31, 2017)
Rs. 1500 - Regular contribution (Early Bird Discount on Rs. 2000 until Dec 31, 2017)
Rs. 500 - Student Fee - Applicable if you are under 24 years of age, not working and not married (Early Bird Discount on Rs. 1000 until Dec 31, 2017)
Please tick if any of these are true for you
I am less than 14 years of age, or above 70 years of age
I have had a major surgery in the last 6 months
I have a neurological or psychological condition
I am under medications for a neurological or psychological condition
Message - If there's anything you'd like to tell us, or ask us, please write it here:
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