Questionnaire California

  • Fill in the answers to questions below OR email the answers to pilgrimage@anandaindia.org OR send by post.
  • Payments by cheque/bank draft to “Ananda Sangha Delhi”, or in Delhi by cash. Mail to Keshava Taylor, Ananda Sangha, N-100, Panchsheel Park, Outer Ring Road, New Delhi 110017. (Ph. 9899200605). Online transfer also available.
  • Spaces are limited. Your participation is confirmed only when we approve your application and receive first payment of Rs. 10,000. Balance of fee due before 1 March, 2019.
  • In case of cancellation, Rs. 10,000 of fee is non-refundable. Cancellation close to date of departure may incur additional costs.

Please answer the following
(Please select “pilgrimage you wish to join” as “Pilgrimage-C”):

    Select Pilgrimage you wish to join

    Full Name (required)
    Name I wish to be called if different than above
    Age (required)
    MaleFemale

    Postal Address (required)

    City (required)

    Mobile (required)

    Email (required)

    PAN Number (required)

    Name and phone of a person not travelling with you, to contact in case of emergency
    Name (required)
    Phone Number of emergency contact (required)

    I prefer :

    I wish to share a room with:
    If you don’t have a roommate, we’ll try to connect you with another single pilgrim. If a suitable roommate can’t be found, you’ll need to pay for single occupancy. If you snore, we ask you to stay with someone you know well or pay for single occupancy.

    Do you have a medical condition that could limit your participation? (e.g., knowing you have difficulty with stairs would help us choose the best hotel room for you.)
    YesNo
    More details

    What has inspired you to consider this pilgrimage?

    Have you attended other Ananda programmes?
    YesNo

    Have you read books by Paramhansa Yogananda or Swami Kriyananda?
    YesNo

    Do you practice meditation?
    YesNo

    What kind of meditation do you practice?
    What I've learned from Ananda SanghaI am a KriyabanOther Meditation

    Comments or Questions? Please write below.

    Liability:

    I understand that the pilgrimage leaders from Ananda Sangha Trust are acting as the tour coordinators only. They are not responsible for any inconvenience or errors caused by our service providers, such as airlines, Indian railways, the resort, and other tour guides, traffic delays, etc. They are not responsible for any loss of personal property, injury, or accidents during the pilgrimage.

    I have read and understand the terms and conditions stated.

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