Ananda Pilgrimages

Application and Questionnaire

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1. Read the Terms and Conditions.

2. E-mail answers to the questions below to pilgrimage@anandaindia.org. You can copy and paste questions into the body of an e-mail.

3. Make a 1st payment as described under "Payment" for each pilgrimage. Your 1st payment is required to confirm your reservation. Please note the date balance is due.

4. We will reply to you with preparation information and answer any questions. Apply soon, as space is limited. 

Please answer the following:

Full name:

Name I wish to be called, if different than above:

Male __  Female __

Birthdate:  Day __     Month __    Year __ 

Postal address:

Phone numbers (home/mobile):

E-mail address:

Name and phone number of person to contact in case of emergency:

I have read the Terms and Conditions . __

Please reserve a space for me on the pilgrimage:

Yogananda's Kolkata 26–31 December 2011

I prefer:  Double room  (Rs. 17,000 per person) __
               Single room    (Rs. 22,500 per person) __

In addition, please purchase train tickets for me:
     Delhi-Kolkata 1-way Duronto  2nd/AC class: Rs. 2,000 __
     Kolkata-Delhi 1-way Rajdhani 2nd/AC class: Rs. 2,000 __

I wish to share a room with: 

OR:
       Please assign me a roommate. __

Please note: If you do not have a roommate, we will try to connect you with another single pilgrim of the same sex. If a roommate cannot be found, you will need to pay for single occupancy. If you snore, we ask you to room with someone you know well, or pay for single occupancy.

Do you have any medical condition which could limit your participation in this pilgrimage? 

How did you first hear of this pilgrimage?

What has inspired you to consider this pilgrimage?

Have you attended other Ananda programmes?

Have you read books by Paramhansa Yogananda or Swami Kriyananda? 

Are you a Kriyaban of the path of Kriya Yoga?

Do you practise meditation?

Are you currently practising:
      Hong-Sau technique? __
      Energisation Exercises? __
      Other meditation? What kind? __

Other information you would like to share?

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