Goa Camp Form - The Yoga Institute Santacruz East Mumbai

Email*

Name*

First Last

Date of Birth*

(DD/MM/YYYY)

Age*

(In Years)

Gender*

Male
Female

Address (Residence)*

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Is Your Office Address different?*

Address (Office)

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Tel No (Res)

Tel No (Off)

Tel No (Mobile)*

Educational Background*

Occupation*

Name of Spouse / Father*

Health Problems (If Any)

Present Health Condition*

Blood Pressure

History of Sickness / Disease in the Past*

When was the last Health Checkup undergone by you?

Do you have any habits? (Eg: Smoking, Alcohol, etc.)

How is your sleep?

Do you eat Veg / Non-Veg Food?*

What are your Hobbies?

What is the main reason you want to join this camp?

Anything else you want to mention / comment?

Name of Activity to be Joined*

Accomodation Required for Goa Camp?*

Accomodation Required for Yoga Retreat?*

Duration of Stay*

Type of Occupancy (1 Month TTC)*

Type of Occupancy (Better Living Yoga Retreats - 1 Day)*

Type of Occupancy (Better Living Yoga Retreats - 6 Nights / 7 Days)*

Type of Occupancy (Better Living Yoga Retreats - 13 Nights / 14 Days)*

Type of Occupancy (Better Living Yoga Retreats - 27 Nights / 28 Days)*

Schedule*

Amount to be Paid:

Goa Camp (1 Month TTC - Non-Residential)

Price: ₹ 49,999.00

Yoga Retreats (Non-Residential / Day / Person)

Price: ₹ 2,499.00

Goa Camp (1 Month TTC - Single Occupancy)

Price: ₹ 124,999.00

Goa Camp (1 Month TTC - Twin Sharing)

Price: ₹ 89,999.00

Goa Camp - (1 Month TTC - Triple Sharing)

Price: ₹ 69,999.00

Yoga Retreats (1 Day - Single Occupancy)

Price: ₹ 5,999.00

Yoga Retreats (1 Day - Twin Sharing)

Price: ₹ 4,499.00

Yoga Retreats (1 Day - Triple Sharing)

Price: ₹ 3,999.00

Yoga Retreats (6 Nights / 7 Days - Single Occupancy)

Price: ₹ 34,999.00

Yoga Retreats (6 Nights / 7 Days - Twin Sharing)

Price: ₹ 25,999.00

Yoga Retreats (6 Nights / 7 Days - Triple Sharing)

Price: ₹ 22,999.00

Yoga Retreats (13 Nights / 14 Days - Single Occupancy)

Price: ₹ 74,999.00

Yoga Retreats (13 Nights / 14 Days - Twin Sharing)

Price: ₹ 54,999.00

Yoga Retreats (13 Nights / 14 Days - Triple Sharing)

Price: ₹ 49,999.00

Yoga Retreats (27 Nights / 28 Days - Single Occupancy)

Price: ₹ 149,999.00

Yoga Retreats (27 Nights / 28 Days - Twin Sharing)

Price: ₹ 99,999.00

Yoga Retreats (27 Nights / 28 Days - Triple Sharing)

Price: ₹ 94,999.00

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