Atlanta - Kriya Initiation Program Signup Form
Spiritual seekers interested in receiving Kriya Yoga Initiation at Atlanta, GA, can sign up here.

Participants are requested to observe social distancing and wear masks indoors.

These sessions are provisionally based on the status of the pandemic and any guidelines from the government authorities.

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Email *
Initiation Program *
Name *
Please provide your full name  (including first name and last name)
Phone Number *
Please enter the phone number in xxx-xxx-xxxx format.
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Occupation
Address *
City *
State *
Example: GA, TN, NC etc
Zip Code *
Purpose
Why do you want to learn Kriya Yoga? [Please limit to 100 characters]
Health Status
Do you have any health problems (illnesses, past surgeries, or accidents)? If yes, please explain briefly [Please limit to 100 characters].
Other Yoga or Meditation Practices
Are you practicing any other yoga or meditation techniques? If Yes, please explain briefly [Please limit to 100 characters].
How did you come to know about Kriya Yoga? *
How did you come to know about this particular program? *
Note
Any other information you would like to provide [Please limit to 100 characters].
A copy of your responses will be emailed to the address you provided.
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