Raja Yoga (Thursdays)

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1 Welcome

2 Registration Amount

3 Additional Info

Please provide us more details so that we can best prepare for your visit.

Preferred Name (i.e. spiritual, nickname, etc.)	Please enter the name you would like us to use for you, if different from the name you registered with.
Primary Phone *	Please enter the phone number where we can most easily reach you, if need be. We keep your contact information confidential.
Address *	Please enter your current mailing address. We keep your contact information confidential.
Address 2
City *
State/Prov. *
Zip/Postal *
Country *
Birth Date
Comments or Special Needs	Please especially note here if you have limited mobility or require extra support.
How did you hear about us?
If you selected "Other", please share:
Why did you decide to attend this program?
If you selected "Other", please share:
Text Message Opt-In	I am ok to receive text messages associated with this registrationIn order to enhance your registration and guest experience, we would like your permission to communicate with you via text message. We will never use this for marketing purposes, and you can opt-out at any time.
Terms and Conditions *	I have read and accept the terms and conditions, including the cancellation and rescheduling policy, drug and pet policy, as well as roommate policy.Please read the terms and conditions

4 Donate (optional)

5 Security Check

6 Payment

	By submitting payment, you authorise Meditation Retreats to send instructions to the financial institution that issued your card to take payments from your card account in accordance with the terms of Meditation Retreats's agreement with you.