Workshop Registration Form

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Email *

Record my email address with my response

First Name *

Last Name *

Mobile No *

Email ID *

Date of Birth *

YYYY

Gender *

Female

Male

Other

Address *

Profession / Occupation *

Which workshop do you want to attend? *

Past Life Regression in-Person (27th & 28th April '24)

Past Life Regression Virtual (27th & 28th April '24)

Inner Child Healing Workshop (8th & 9th June '24)

Required

Why do you intend to attend this workshop? *

How did you hear about us?

Do you wish to receive our newsletter? *

Yes

Pay through this QR code or through link provided post form submission. *

Done

Will Do it later

Disclaimer

I am aware that this workshop is about taking self-responsibility and I am willingly attending this workshop for my personal growth. None of this work is a substitute for any treatment or diagnosis of any medical condition. I also take complete responsibility for the choices and decisions I make based on the understanding I take away from the workshop.

A copy of your responses will be emailed to .

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