2022 - Divine Light Retreats Registration Form
Please complete the form below to register your interest in the yoga & meditation retreat - A touch of the Divine
Sign in to Google to save your progress. Learn more
Email *
Name:
Address:
Phone number:
Date of birth
MM
/
DD
/
YYYY
Do you have any food allergies or intolerances:
Do you have any health issues?  (We’d like to know in order to be able to assist you better during the retreat. Always make sure you check with your doctor if practicing yoga is advisable for you in case of any doubt).
Emergency contact and phone number:
What are your intentions for this retreat?
Would you like to be added to our WhatsApp group to ask questions or find out up to date information?
Will this be the first time you travel to India?
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Brahmrishi School of Yoga. Report Abuse