Ramdeep K Khalsa Main Registration Form Yatra 2015

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  • Mystical Travels with a Yogi 2015

    Mystical Travels with a Yogi 2015

    Kundalini Yatra & Retreat 12 days of Total Transformation, Renewal & Celebrations

    Nurture your inner health with exclusive Kundalini Yoga and Meditation sessions, set in Indias 2

    most sacred Vortex Centres, Amritsar the home of the world famous Golden Temple and Dharmasala the doorway to the Himalayas.

    Yogi Amandeep brings yatras to such places that are not ordinarily

    accessible to the public. Deep. Esoteric. Secretive powerful teachings. He is an authority on yogic history and science from his

    own personal research. He openly shares his wisdom along the journey creating a unique & profound spiritual experience.

    www.yogiamandeepsingh.com

    www.facebook.com/mysticaltravelsyogi

    Email:

    Mobile:

    [email protected]

    +1 587 990 0026 (Canada)

    +61 421 715 915(Australia)

    Yatra One: Rebirthing in Dharamsala 6 days in Dharamsala & Khangra Valley

    2 to 8 Nov Arrival on 2nd Nov evening

    Check out 8th morning

    Yatra Two: Celebration in Amritsar 6 days in Amritsar & other sacred sites

    8 to 14 Nov Arrival on 8th Nov evening Check out 14th Nov noon

  • Mystical Travels with a Yogi 2015

    Offerings: Includes

    Accommodation in luxury hotels 3 delicious vegetarian meals per day

    Excursions and all travels within both Yatras Precious Dharma Teachings

    Offerings for Yatra One: $US1140

    Offerings Yatra Two: $US1110

    Special discount for both Yatras $US1995 until 26th Aug 2015 (Payment in instalments can be arranged)

    Original price of $US2195 after 26 Aug 2015

    Note: The above offerings are for twin accommodations, if participants wishes to have single

    accommodations, below are the prices. Single accommodation for both Yatras + $US485

    Single accommodation for 1st Yatra + $US295 Single accommodation for 2nd Yatra + $US235

    (Rooms are first come first serve basis as we have limited single rooms)

    You can either send this form through an e-mail or if you are sending the cheque, please mail the

    form to the following address:

    Yogi Amandeep Singh

    3240 15 Ave NW

    Edmonton, Alberta T6T 0V2 Canada

  • Mystical Travels with a Yogi 2015

    REGISTRATION FORM: Mystical Travels with a Yogi 2015

    Name of the Yatra you are attending: (if both, write Both Yatras):____Both___________________________

    Single Accommodation: ____________________ Double Accommodation: __X________

    Your Legal Name (as printed on passport): __COLIC, Mirian Elaine__________________

    Spiritual Name, if Applicable: _Ramdeep Kaur KHALSA___ Nationality:_United States of America______

    Email address:[email protected]_______Phone:__949-573-4954_____

    Mailing address: __22615 Cambridgeport Square________________________________________

    City: _Ashburn___ State_VA___ Zip code: __20148___ Country: __USA_________

    Date of birth: _11/28/1975______ Male [M] / Female [F]: _F_ Passport No: ____________________

    Expected Date of Arrival: _________________________ Time: _______________________________

    Expected Date of Departure: ______________________ Time: _______________________________

    Emergency Contact

    Who would you like us to contact in case of an emergency? Please provide a name, an email, phone number with the country code

    Name: __ANNAN COLIC_________________________________

    Email: [email protected]________________ Phone:__________________________

    Offerings for the Yatra are being send by: (tick the appropriate column)

    Cash when I arrive: By Cheque along this form: By Telegraphic Transfer to CIBC Bank:

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    mecolicTypewritten Text303-947-4143

    mecolicTypewritten TextX

  • Mystical Travels with a Yogi 2015

    WAIVER AND RELEASE OF LIABILITY

    1. The person signing this agreement understand that Amandeep Singh and his representatives,

    organising this Yatra, are hereby released from any liability for any claims, obligations, damages, losses,

    injuries and/or causes of action arising as a result of their visit to Yatras.

    2. The person signing this release further agrees and understands that we do not cover any insurance or

    liability about the safety and protection of the individuals and their possessions during their participation in

    this Yatra.

    3. The undersigned agrees to notify the Yatra staff of any medical emergencies in advance, so that

    appropriate arrangements can be provided as required.

    4. I understand that every effort will be made to sustain my well-being in an event of a medical

    emergency, but I am still fully responsible for obtaining any necessary insurance, medical treatment

    required on the trip.

    5. The person signing this release understands that physical exercise is a part this Yatra and is at their

    own risk for the exercise undertaken.

    6. I accept the possibility that Yatra staff or organiser will not be able to cover all program points outlined

    in the brochure due to unexpected restrictions, or unforeseen circumstances at the time and organisation.

    I/we have read and understood all of the above and sign this Registration and Release Form

    Agreement, and release myself and on behalf of any minor children under 18 years designated

    below.

    Date: ____________ Place: _____________________ Signature: _______________________________

    Name: ______________________________________________________________________________

    Names and age of any minor childrens: ____________________________________________________

    FOR OFFICE USE ONLY:

    Deposit Received: ________ Initials: __________ Date: _________ Total Paid: ____________________

    mecolicTypewritten Text07/21/2015

    mecolicTypewritten TextWashington, DC

    mecolicTypewritten TextMirian E. ColicRamdeep Kaur Khalsa

    2015-07-22T14:50:35-0400MIRIAN E COLIC