INTEREST FORM Weekend Immersion Program Thank you for your interest in the Weekend Immersion Program. Please share your details First Name *Last Name *Age *Whatsapp Number *Email Address *City *Please choose the Hatha Yoga practice you are interested in *AngamardanaSurya Practices (Surya Kriya + Surya Shakti)YogasanasHave you previously completed any Isha Yoga programs? (Select the ones you have attended) *Jala NetiBhuta ShuddhiUpa YogaAngamardanaSurya KriyaSurya ShaktiYogasanasEye care practicesBhastrika kriyaShanmukhi MudraInner EngineeringNone of the aboveDo you have any current or past medical or psychological conditions *Recent surgery (last 6 months)Chronic back or knee painHigh / Low blood pressureHeart conditionMigraine / VertigoRespiratory conditions (Asthma etc.)Ongoing treatment for anxiety, depression or other mental health conditionsOther medical conditionNone of the aboveThis program is designed as a immersive experience requiring participation in all 5 sessions. Please choose the option *I would like to attend the program with stay (Residential option)I would like to attend the program without stay (Non-residential option)I need more information before confirmingAttendance in all sessions is mandatory, and participants are expected to follow the program schedule and guidelines throughout the duration of the program. The use of alcohol, smoking, or any recreational substances is strictly not permitted. Participants are required to maintain the discipline and sanctity of the learning environment, and anyone not adhering to these guidelines may be requested to discontinue and leave the program. *YesNoAny further information or questions please feel free to comment * We may use your contact information to send occasional updates and promotions related to our yoga workshops. SUBMIT