Meditation Retreat Application

Full Name *

Photo *

Click or drag a file to this area to upload.

Use passport size photo which is clear

Email *

Address *

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’ve received: *

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

Session date you would like to attend *

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