Kriya Yoga Initiation Session Signup Form
Spiritual seekers interested in receiving Kriya Yoga Initiation in Kauai, HI can sign up here. After signing up for the initiation, we will contact you.

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

Sign in to Google to save your progress. Learn more
Email *
FREE PUBLIC LECTURES
*
FREE PUBLIC LECTURES ON KRIYA YOGA MEDITATION (Mandatory to attend one of these talk in order to attend the Initiation Program on Saturday and Sunday)
Required
INITIATION PROGRAM
Initiation Program, Technique Teaching & followup with Guided Meditations  (Please attend one Free Lecture in order to attend the Initiation Program).  Saturday  Aug 26th (8.30 am - 5.30 pm) & Sunday Aug 27th (8.30 am - 4.00 pm) - Golden Lotus Studio, 4-941 Kuhio Hwy Ste A, Kapaa, HI 96746-2714
Full Name *
Phone Number *
Please enter the phone number in xxx-xxx-xxxx format.
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Occupation
Address *
City *
State *
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].
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.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Kriya Yoga Institute Inc.. Report Abuse