WHITE TARA Thailand, Phuket

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Welcome shaning soul to this Authentic Kundalini Awakening and Ayurvedic Woman Retreat! Filling out this application you register your place in the retreat.You will receive information about payment after registration . $800USD deposited are requires to hold your space.

Email *

Full Name *

Facebook/ Instagram / Country of Residents. *

How did you know about WHITE TARA retreat? *

Are you practice in yoga and meditation ?

Yes, practice regular

Yes, I am experienced teacher

I am new to yoga and meditation

Clear selection

You have selected a program: *

White Tara MIRACLE Care( included 4 Ayurvedic treatments)

White Tara SOFT Care (included 2 Ayurvedic treatments)

You preference to do: *

FULL Payment

Payment by PARTS

Have you lately/presently been experiencing emotional stress, anxiety or depression ? *

Yes

Other:

Do you have a medical condition which may affect your ability to practice and participate on the retreat? *

I understand and agree to the fact that the on some classes will be taking photos and videos for social media. *

Yes, I agree to be on photos and video and allow use pic with me in the social media

Yes, I understand this fact. And I ask not include pic with me in the social media.

Anything important for us to Know? *

Submit

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