Krishna Das Saturday Concert

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1 Welcome

2 Choose the dates of your stay

3 Ticket Prices

4 People in your group

Guest 1		First Name* Last Name* Email* Gender*
Guest 1		First Name* Last Name* Email* Gender*

After completing this form, emails will be sent to everyone in your group to complete their information.

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5 Participant Info

Spiritual/Preferred Name
Cell Phone (Primary) *	Please format phone #'s as xxx-xxx-xxxx
Home Phone	eg. xxx-xxx-xxxx
Address *
Address 2
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Date of Birth *
Gender *
First Time? *	Yes No Is this your first visit to Yogaville?
Do you already or would you like to receive the Yogaville Program Guide and Program Brochures?? *	Yes No At this time due to COVID we have discontinued the Program Guide and all print media sent in the mail. We are hoping to start again in 2023. If you'd like to receive print media in the mail to your address please check yes.
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Health Concerns or Physical Limitations?	Anything that may be useful in giving you the best service possible. Please list any serious allergies or physical limitations.
How did you hear about this program? *
If Other, please let us know how.	Please let us know in what other way you heard about this program
Personal Comments	Please Contact ARC Directly with any changes to your Reservation. 800.858.9642
Emergency Contact Name	First, Last
Emergency Contact Phone	xxx-xxx-xxxx
Meal Agreement *	I acknowledge that buffet service with vegetarian and/or vegan only options will be provided as described below and that I will bring no animal products such as eggs, meat, or fish onto ashram grounds. What meals are included: - Dinner on arrival day - Breakfast, Lunch, and Dinner on full stay dates - Breakfast and Lunch on departure day All meals provided by the Ashram are vegetarian and/or vegan. No animal products such as eggs, meat, or fish are permitted onto ashram grounds. Thank you for understanding.
Terms and Conditions *	Yes! Continue with my RegistrationI have read and understand the Terms and Conditions

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<-- Return To Program Page

1 Welcome

2 Choose the dates of your stay

3 Ticket Prices

4 People in your group

5 Participant Info

6 Help us make a difference