NYC advanced technique course registration

October 4th, 2021

In accordance with City of New York guidelines, we will require all participants show proof that they are vaccinated against COVID-19.
NAME*
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EMAIL*
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PHONE NUMBER
DATE OF BIRTH*
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WHAT'S YOUR OCCUPATION?*
Have you taken a 4-Day, in-person Vedic Meditation Course?*
- Yes
- No, I have not
Taking a 4-Day, in-person Vedic Meditation Course is a prerequisite to learning an Advanced Technique.

Please register for one of Thom's Introductory Talks to learn more.
WHICH TEACHER TAUGHT YOU VEDIC MEDITATION?*
WHAT YEAR DID YOU LEARN VEDIC MEDITATION?*
Is this the first time you are receiving an advanced technique?*
- Yes
- No, I have received an Advanced Technique before
WHEN DID YOU RECEIVE YOUR LAST ADVANCED TECHNIQUE? (MONTH/YEAR)*
ARE YOU UNDER REGULAR CARE OF A MEDICAL PRACTITIONER?*
ARE YOU TAKING ANY PRESCRIBED MEDICATION?*
Which session would you like to attend?*
- Morning Session (October 4th, 10:00 am - 11:30 am)
- Evening Session (October 4th, 7:00 pm - 8:30 pm)
Do you have any additional comments or questions for us today?
The Course Fee for an Advanced Technique is $800.
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CARDHOLDER NAME*
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