Yoga Program Registration

Kriya Yoga Centre Vienna
- Program Registration Form -

First name *

Last name *

Address

Phone number *

country code, area code, number

Type of phone *

Landline Mobile phone / cell phone

Email *

Confirmation Email Confirm your email by typing it a second time

Program *

Choose the program you want to register for in the list

Choose the Seva you like to do during the program. Click the Seva you like most first, then your second choice.

If you have any comments on your Seva please tell us at the end of the form.

Gender *

female male

Option *

Choose your accommodation option from the list

Please note:

Arrival *

Day Month Year

at

Hour Minutes Date Picker Icon

Departure *

Day Month Year

at

Hour Minutes Date Picker Icon

Kriya Yoga Initiation *

I am already initiated I want to get initiated

Initiation Details (keep cell phone horizontal)

Comment

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