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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:

yatra@yogiamandeepsingh.com

Mobile: +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
Both Yatras
Name of the Yatra you are attending: (if both, write Both Yatras):_______________________________
roommate Ilona Kwiecen
Single Accommodation: ____________________ Double Accommodation: ____________________
Deborah Eve Kodiak
Your Legal Name (as printed on passport): _________________________________________________

Spiritual Name, if Applicable: ________________________


Nationality:___________________________
U.S.
Taj Prem
603-547-7802
eve@evekodiak.com
Email address:____________________________________Phone:______________________________

Mailing address: ______________________________________________________________________


Eve Kodiak 33 Foster Rd.
U.S.A.
Temple
City: ____________
State___________
Zip code: ___________
Country: _________________________
03084
NH
F
Date of birth: _________________
Male [M] / Female [F]: _____
Passport No: ____________________
5/18/55
513065989

Expected Date of Arrival: _________________________


Time: _______________________________
"
no plane yet, what do you recommend?
"

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: _________________________________________________________________
Gene Faxon
gcfax@comcast.net
Email: _________________________________
Phone:__________________________
603-547-0213, 603-878-4726

Offerings for the Yatra are being send by: (tick the appropriate column)
Cash when I arrive:

By Cheque along this form:

x By Telegraphic Transfer to CIBC Bank:

check by mail with form


sending form electronicall

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: ____________
Signature: _______________________________
August 24, 2015 Place: _____________________
Temple, NH
Name: ______________________________________________________________________________
Deborah Eve Kodiak
Names and age of any minor childrens: ____________________________________________________

FOR OFFICE USE ONLY:


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

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