Learn to Meditate Course Registration – Other Form of Payment Learn to Meditate Course Registration – Other Form of Payment – Thom Knoles | Vedic Meditation VEDIC MEDITATION COURSE REGISTRATION 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*Do you have any additional comments or questions for us today?