Guru Purnima Meditation Retreat 2026 Registration

Name

First

Last

Photo

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Use passport size photo which is clear

Email

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Phone

Age

Gender

How long have you been meditating?

How long can you sit in a meditation session?

Have you attended previous Sri Karunamayi retreats? If yes, on which dates?

Please indicate which Chakra Meditation Initiations you have received:

Your name as you wish it to appear on your name badge

Retreat Guidelines Acknowledgement* (Required checkbox)

I understand this is a silent meditation retreat. I agree to observe silence, follow retereat discipline, dress modestly, and refrain from photography and device use inside temple/retreat spaces.

I understand this form is an expression of interest, not a confirmed registration. Final confirmation will be emailed subject to availability and approval.

Guru Purnima Retreat Application