Spring Wellness Retreat: March 26-30, 2023 at the Temple of Compassion                                                                    
Details: 

This 5-day Wellness Retreat will be held at the Temple of Compassion in Burton, Texas. The retreat begins Sunday, March 26 with a 5:30am Kriya Yoga meditation and the program concludes with dinner on March 30 at 7pm. Participants are expected to arrive Saturday, March 25. 

Program fee is $1500 USD with $750 due at the time of acceptance into the program and the remaining balance due by March 4, or individual enrollment will be cancelled. No refunds will be available after March 4.

This program is open to kriyavans in the lineage of Paramahamsa Hariharananda and Paramahamsa Prajnanananda.

To ensure your place is officially reserved, please complete the entire registration form and select a payment option below.

Only one registrant per form. Please complete a separate form for each person attending the retreat.

For questions contact us at: pranadawellness@kriya.org 

Sign in to Google to save your progress. Learn more
Full Name *
Email: *
Phone: *
Gender: *
In which city and state do you live?
Arrival Day and Time to Ashram *
Arrival Flight Information [Date, Airport, Time]
Departure Date and Time from Ashram *
Departure Flight Information [Date, Airport, Time]
Have you participated in one of our past Pranada Wellness retreats? *
Do you have any food allergies? (If yes, please list allergies in "other") *
Required
For meal planning purposes please indicate which additional meals you will be present for:
Whom should we contact in case of emergency?
What is your emergency contact's cell phone number?
Medical Screening Questions
Have you been hospitalized for any condition in the last 6 months?
Clear selection
Surgeries:  Have you recently had any surgery? Or Do you have any surgeries scheduled?
Clear selection

Do you have a current diagnosis of cancer?  

If so, are you currently undergoing chemotherapy?  Radiation?


Clear selection
Is there anything that limits you from walking at least 50 feet?
Clear selection
Do you require supplemental oxygen?
Clear selection
Terms & Conditions


» I understand that no refunds are available after March 4, 2023.

» By signing below I agree that I will abide by the code of conduct of Kriya Yoga Institute and will not hold Kriya Yoga Institute, liable for any injuries, illness, or losses that may occur during my attendance, or use of the Kriya Yoga Institute facilities.

I agree that Kriya Yoga Institute and its agents, staff, employees, and instructors shall not be liable for any injuries or any damages to any registrant or guest, or be the subject to any claim, demand, injury or damages, whatsoever, including without limitation, those damages from acts of passive or active negligence on the part of Kriya Yoga Institute, its officers, staff, employees or agents. Registrant does hereby expressly forever release and discharge Kriya Yoga Institute from all such claims, demands, injuries, damages, actions or causes of action whatsoever. Registrant acknowledges that he/she has carefully read this paragraph and fully understands that this is a waiver and release of liability.

Registrant will at all times indemnify and hold harmless Kriya Yoga Institute, its agents and licensees from and against any and all claims, damages, liabilities, costs and expenses, including but not limited to reasonable legal expenses arising out of my attendance, or use of the Kriya Yoga Institute facilities.

Do you accept the Terms & Conditions above? *
How will you pay? *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Kriya Yoga Institute Inc.. Report Abuse
Google Forms