Rebirth your Breath with Yogrishi Vishvketu: 7 Day Yoga Retreat in Rishikesh, India

Join us March 2-8th, 2023. Retreat for a nourishing 7 days and 6 nights to a grounding, healing and soul rejuvenating environment where you will receive tools to declutter your mind and energy, shift anxiety and completely reset your nervous system.

Led by Yogrishi and Kal Prakashini you will “Rebirth your Breath” using traditional Pranayama and Meditation techniques, and enjoy a unique experience of deep reset using Yogic Sleep (Yoga Nidra) practices. guided tours to sacred temple and ashrams.


Email *
First and Last Name *
Address *
State *
Country *
Phone number *
Emergency contact name   *
Emergency contact phone number *
Gender Identity *
Date of Birth *
MM
/
DD
/
YYYY
How did you hear about this retreat? please add name of promotion. *
Do you have any medical conditions? *
Do you have any allergies to medications? *
Do you have special meal requirements? *
Do you have any other medical conditions that may affect your participation in the retreat? *
Because of limited space available on this retreat, all accommodations will be double occupancy, meaning each room will have two beds and a bathroom. Come with a friend, or we will place you with a roommate. *
Required
If you are traveling with a friend indicate name here:
Waiver

I agree that neither I nor my heirs, executors, administrators, successors or assigns, will hold World Conscious Yoga Family/ Akhanda Yoga Institute, its owners, teachers, assistants, agents or employees, responsible for any injury, accident, illness, or harm that may befall me while I am attending a World Conscious Yoga Family/Akhanda Yoga Institute program including, without limiting the generality of the foregoing, any such injury, accident, illness harm or damage caused by defaults of World Conscious Yoga Family/Akhanda Yoga Institute, its owners, teachers, assistants, agents or employees, other than gross negligence or willful misconduct.

I understand that for the benefit of the group and the integrity of the program, if I do not follow the rules of the program or if I do not treat other students and teachers respectfully, I will be asked to meet with the teachers to discuss these issues. Thereafter, I may be asked to leave the program without a refund. I also understand that no physical activity, including yoga, is risk-free. Yogrishi Vishvketu (Manoj Panwar) is registered as an experienced yoga teacher by the Yoga Alliance under our Registered Yoga School status. Despite the integrity of our yoga teachers, a student could injure themselves by forcing the poses or not performing the poses at their own level of ability. I understand that I can best keep myself healthy and injury-free during yoga class by listening to my body and opting out of poses or choosing modifications of poses where my breath becomes halting, and/or there is strain.

I understand that no physical activity, including yoga, is risk-free. Yogrishi Vishvketu (Manoj Panwar) is registered as an experienced yoga teacher by the Yoga Alliance under our Registered Yoga School status. Despite the integrity of our yoga teachers, a student could injure him or herself by forcing the poses or not performing the poses at their own level of ability. I understand that I can best keep myself healthy and injury-free during yoga class by listening to my body and opting out of poses or choosing modifications of poses where my breath becomes halting, and/or there is strain. 

I understand that from time to time photographers may take pictures and/or video record some segments. I will make the facilitators aware if I do not want my image recorded. 

Whilst it is not typically the case, from time to time there may be circumstances that prevent a course from running at its scheduled time including but not limited to government restrictions, pandemics, insufficient numbers, and/or severe disruption to technology platforms. Where this occurs registrants will be provided options to receive a full and complete refund or reschedule to a planned future course.


Deposit: $450 (must be paid to hold spot) via PAYPAL/STRIPE, once the deposit is sent send a receipt copy to business@akhandayoga.com

Payment plans are available  Please email business@akhandayoga.com for this option. payments plans will be set up in PAYPAL/STRIPE

All payments are final. No refunds except in case of personal emergency. Payment plans are available by special request, but payment must be received in full before the program starts. By registering you agree to the payment terms.


Please check the box below *
Required
Date *
MM
/
DD
/
YYYY
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of nancy barbara montes. Report Abuse