21 Stages 2018 Registration — Spirit Rising Yoga

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:

March 23-24, April 6-7, May 11-12, 2019
Registration Form
Sat Nam! Congratulations for making the commitment to participate in 21 Stages of Meditation
at Spirit Rising Yoga. Kindly fill out and submit this form to complete your registration. All your information is kept completely confidential.

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

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Email Address *

Emergency Contact Name 1

First Name

Last Name

Emergency Contact Relationship (Partner? Sister? Etc)

Emergency Contact Phone 1

(###)

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Emergency Contact Email 1

Please describe your experience with meditation

Occupation

Do you have any health issues we should be aware of that may affect your participation in the course?

Payment Option (Pre-registration)

Which Journey(s) are you registering for? ~ All Three Journeys $890 (by March 1, then $990) ~ Journey One, March 23-24 | $325 (by March 1, then $375) ~ Journey Two, April 6-7 | $325 (by March 1, then $375) ~ Journey Three, May 11-12 | $325 (by March 1, then $375)

Signature

Cancellation Policy: • All cancellations must be made in writing and received by Shiva Singh Khalsa (training@spiritrisingyoga.org). • Withdrawal from the course will not be considered confirmed until a written request is received. The date the written notice is received is the earliest date that the withdrawal will be in effect. • Withdrawals prior to the first day of the course (whether you’re participating in a journey or the full course) will be eligible for a refund less 20% of the course fee. • Refunds will be processed within 30 days. Funds will be reimbursed in the form of payment received. Certification: To receive credit for each journey or for the full course, students must attend all class hours. Course credit is ultimately at the discretion of the Lead Trainer. A letter of completion from the lead trainer will be issued for each journey, or for the full course. Please note that if you are not already a KRI Level 1 certified Kundalini Yoga instructor, that this course will not apply towards your KRI Level 3 certification. By signing below, I acknowledge that I have read, understood and agree to the policies regarding cancellation and payment for this course.

21 Stages All Three Journeys

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21 Stages First Journey

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21 Stages Second Journey

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21 Stages Third Journey

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21 Stages of Meditation Book

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Spirit Rising Yoga

Kundalini Yoga as taught by Yogi Bhajan (R)