Liberation Day Yoga Retreat

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1 Welcome

2 Accommodations / Pricing

3 Optional Items

4 Participant Info

All the information entered here will be kept private. Please fill out as much as you can. Required fields have a red *

Are you a Vietnamese national? *	no yes Vietnamese national will have a reduced price due to the difference in income in Vietnam,
Gender *
Birth Date *
Marital Status
Arrival Time
Departure Time

5 Contact Information

6 Emergency Contact Info.

7 Additional Information

How did you hear about us? *
Sivananda TTC Graduate?	If yes, please tell us the location and year.
Sivananda Yoga Experience	Have you visited a Sivananda Yoga Vedanta Center or Ashram? If so, which?
Yoga and Meditation Experience	Please describe your experience with yoga and meditation
Occupation *	Please describe your work history
Education	Please describe any formal or informal education experience.
Requested Roommate
Medical Issues *	Enter "none" if you have no issues
Are you vegetarian or willing to be?
Comments or Special Needs
Special Diet
Terms and Conditions *	I accept the terms and conditions.Please read the terms and conditions
Email newsletter	Please send me the email newsletter Do not send me the email newsletter
Сountry *

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9 Security Check

10 Payment

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"An Ounce of Practice is Worth tons of Theory" - Swami Sivananda