Kundalini Yoga
21 Stages of Meditation
2018 Registration Form

Sat Nam! Congratulations for making the commitment to participate in this transformational
21 Stages of Meditation course at Spirit Rising Yoga.  
Kindly complete the following form to complete your registration: 

Name
Name
Address
Address
Phone
Phone
Birth Date
Birth Date
Emergency Contact Name 1
Emergency Contact Name 1
Emergency Contact Phone 1
Emergency Contact Phone 1
       ~ All Three Journeys $870 by 11/25/17               ~ Journey One      $325 by 11/25/17        ~ Journey Two   $325 by 12/25/17                        ~ Journey Three    $325 by 01/15/18        ~After those dates All Three Journeys, $970     ~Each Individual Journey,  $375