Learn to Meditate Course Registration – Other Form of Payment NYC learn to meditate course registration October 4th – October 7th 2021 In accordance with City of New York guidelines, we will require all course participants show proof that they are vaccinated against COVID-19.NAME* First Last EMAIL* PHONE NUMBERDATE OF BIRTH* MM slash DD slash YYYY WHAT'S YOUR OCCUPATION?* Have you attended an Introductory Talk?* Yes No, please contact me to schedule one WHICH INTRO TALK DID YOU ATTEND?* Can you attend all 4 days of the course?* Yes No, I cannot attend all 4 days of the course. ARE YOU UNDER REGULAR CARE OF A MEDICAL PRACTITIONER?* ARE YOU TAKING ANY PRESCRIBED MEDICATION?* Untitled*For the first day of the course, which session would you like to attend? Morning Session (Monday, 10/4, 10:00 am - 11:30 am) Evening Session (Monday, 10/4, 7:00 pm - 8:30 pm) Please select your course fee below:*Tiered contribution is an equitable exchange which nurtures the personal commitment of the student to the teaching, and also makes the teaching available to everyone regardless of financial status. Your course fee includes a life-time of support from Thom and a world-wide network of Vedic Meditation teachers, including the ability to re-take the course at any stage and as often as you wish and unlimited follow-up at group meditations. If you are a full-time student working towards a undergraduate or graduate degree, please email us at email@example.com for a discounted student rate. $800 (annual household and/or retirement income < $75,000) $1,250 (annual household and/or retirement income $75,000 - $125,000) $1,750 (annual household and/or retirement income $125,000 - $250,000) $2,500 (annual household and/or retirement income income > $250,000) Do you have any additional comments or questions for us today?