DIVYA 2024: JUN 3-30, A free 4-week online yoga camp to create a healthy you:  Self-Care for A DIVINE-SELF 
(Each family members to fill a separate form)
For any question email:  INFO@MOKSHADHAM.ORG  or whatsapp at 1-905-484-5000.

UN declared INTERNATIONAL YOGA DAY on June 21st 2015
 Mokshadham Foundation invites you to a 4-week free yoga camp in JUNE to create a new divine version of yourself. Create a healthy body and calm mind through this camp. Let your NEW self shine from within you. 

DATE: (USA/Canada):3 JUNE 8 PM Est (Monday)
INDIA start date: 4 JUNE  5:30 AM  (Tuesday)
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IST = India Time
5:30 am: Tue, Wed, Thu, Fri
Sat & Sun: 5:30 pm
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EST = (New York/Toronto time)
8 pm Mondays, Tuesdays, Wed and Thursdays
Sat & Sun 8:00 am, EST
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Mokshadham is a non-profit organization that aims to make yoga accessible and affordable to all across the globe. Our traditional Yoga classes are beautifully designed with the ancient science of Yoga & Meditation and stress relief techniques. We invite you to explore this beautiful journey and benefit from the science of Yoga that was discovered thousands of years ago as a means to take care of ourselves. (People having health issues, please get a clearance from your Doctor before joining the classes) www.mokshadham.org
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Email *
CAMP FLYER
Physical Activity Readiness Questionairre (PQR-Q)
Regular physical activity is fun and healthy, and increasingly more people are starting to become more active every day. Being more active is very safe for most people. However, some people should check with their doctor before they start becoming much more physically active. If you are planning to become much more physically active than you are now, start by answering the seven questions in the box below. 

If you are between the ages of 15 and 69, the PAR-Q will tell you if you should check with your doctor before you start. If you are over 69 years of age, and you are not used to being very active, check with your doctor. Common sense is your best guide when you answer these questions. Please read the next SEVEN questions carefully and answer each one honestly: check YES or NO.
1. Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor? *
2. Do you feel pain in your chest when you do physical activity?
 *
3. In the past month, have you had chest pain when you were not doing physical activity?
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4. Do you lose your balance because of dizziness or do you ever lose consciousness?
 *
5. Do you have a bone or joint problem (for example, back, knee or hip) that could be made worse by a change in your physical activity?
 *
6. Is your doctor currently prescribing drugs (for example, water pills) for your blood pressure or heart condition?
 *
7. Do you know of any other reason why you should not do physical activity?
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If you answered YES to one or more questions 1 to 7 PLEASE Talk with your doctor by phone or in person BEFORE you start these classes. Tell your doctor about the PAR-Q and which questions you answered YES. 
Please confirm if your Doctor has allowed you to join these yoga sessions? *
Country *
Phone number that you will use to join the whatsapp group. (Please do not put dash, country code, or '0', or + sign,  type only your phone number) *
Full Name *
Age *
Gender *
How did you know about this? *
Do you have any experience with yoga/meditation *
Please mention if you have any Physical or Mental health issue here. IF PREGNANT (Please do not enroll, instead contact us at  INFO@MOKSHADHAM.ORG for seperate pre-natal classes) *
Required
Any recent surgery. If yes, please mention the details of what and when. *
Briefly describe what you are looking for in this program: *
Required
UNDERTAKING & INDEMNIFICATION: I, the undersigned, am over 18 years and understand that participation in this program is not a substitute for medical attention, examination, diagnosis, or treatment.  

I here by acknowledge and agree to take full responsibility for my health during participation in these classes and program. The yoga teacher or instructor does not assume any responsibility for determining my fitness to participate in the class. I recognize that it is my responsibility to notify the yoga teacher/instructor of any serious illness or injury. If I feel any discomfort I will listen to my body. It is my responsibility to ask for clarifications on anything that I do not understand. 

I acknowledge and agree that my attendance and participation in the classes and program is voluntary. Since attending any of the sessions could involve the physical activity of learning yoga, I agree to assume the risks associated with attending and participating in the program to the fullest extent permitted under applicable law.  To the extent permissible by law, I agree to indemnify Mokshadham Foundation against any and all claims, actions, losses and damages arising out of or relating to my participation in the Program. I agree to waive claims against Mokshadham Foundation (including it's subsidiaries, affiliates, officers, volunteers, agents, partners, teachers, trustees, founder and employees) for any injuries I may sustain because of my participation in these classes and/or wellness program and assume full responsibility for all my actions.  Any medical/legal expenses incurred in this regard will be fully borne by me. 

I understand that I can leave the class or program any time I wish. I also understand that it is a donation-based class and I will contribute as per my wish.  
(Zoom classes will be private and password protected. Please do not share the link or password with anyone)

MEDIA RELEASE CONSENT:-
All participants to this Zoom class must understand and acknowledge that multiple users will be connected through the Zoom during the class and, all participants may view one another. Hence, there can be no claim or expectation of privacy.  Mokshadham Foundation or its instructors will have no control over the actions of other participants in the Zoom class. Mokshadham Foundation and the Instructor shall be absolutely and completely released and relieved of any liability whatsoever because of any unauthorized copying or duplication of any image of any individual disclosed during the zoom classes. 

For some special programs like satsang and/or group discussions I understand and consent that my image/video of during the zoom class can be uploaded in the Mokshadam's Social media platforms (like, YouTube, Instagram, Facebook etc.) I understand that it will be my choice to switch on the zoom video or keep it off during such special sessions. I agree that I will not be taking any photos or videos of the ongoing class or any participants.  

NOTE: During regular classes only the teachers video is recorded SO IT IS RECOMMENDED to keep the participant's camera ON for optimal benefit to the participant so that the teacher can correct any mistakes. 
 
CONSENT TO INCLUDE PHONE # FOR WHATSAPP
I give my consent to include my phone number in the WhatsApp group for the program.  I understand and agree with the conditions set out above. 

(Please AGREE to the above terms and TYPE YOUR NAME BELOW in signature box and this is also the CONSENT for you to participate in the program.)
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Date *
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NOTE: DON'T MISS THE LINK ON NEXT PAGE!
AFTER YOU CLICK SUBMIT, YOU WILL SEE THE LINK TO JOIN THE WHATSAPP GROUP. Please click on that link that will get you the access to the group. The Zoom link for the classes will be in the group description box.  If you have any issues, please connect on whatsapp 1-905-484-5000.
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