Shri Kali Ashram Application Form
All students must fill this form out before coming to Shri Kali Ashram.
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How many people are you applying for? *
Double option for friends and couples sharing a bedroom.
Which program are you attending? *
Full Name *
Please fill out this personal information below for one person. If you are coming as two people, afterwards you will be asked to answer about the second person.
Email *
Home Address: *
Telephone number: *
Passport Number *
Age *
Country of Origin *
How long have you been practicing yoga? *
Please tell us about your primary style, teachers, personal practice, etc.
What do you hope to accomplish in this course? *
Please describe any health conditions that might affect your yoga. *
Physical and Psychological. Ex. medications, old injuries, psychological issues, medical conditions, etc. Please explain in detail
Food details: *
Required
Please if you have any food allergies explain here:
Arrival Date: *
Month/Day/Year
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Departure Date: *
Month/Day/Year
MM
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DD
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Your emergency contact information: *
(Name, phone and e-mail)
Which method are you using to pay for the course? *
What’s the total cost of your course (the amount paid by Electronic Deposit or to be paid upon arrival in cash) and the currency used *
If you are paying by credit/debit card (Pay Pal) you don't need to update this info. Just please fill 'Pay Pal'
Have you already paid (in case of Card or Electronic Bank Transfer)? *
How did you find out about Shri Kali Ashram? *
If it was by recommendation could you tell us by who?
If you are a returning student which program did you attend in the past?
 (just for returning students)
Clear selection
When did you attend?
Month/Day/Year (just for returning students)
MM
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DD
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