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Registration Form

1 Day Preksha Meditation Camp

"Opening the doors to 2015"

* First Name
Last Name
* Phone
* Email
* Lunch
Additional Registrants:
Spouse/Family Member
Total Attendees ($25/person)
I/We have read and agree to the Terms and Conditions.

Terms and Conditions:
I/We hereby stipulate that I/we am/are physically sound to proceed with instructions in Preksha Meditation and Yoga. It is further agreed that all exercises and lessons shall be undertaken at my/our own risk, and that JVB Preksha Meditation Center (JVBPMC) shall not be liable for any injuries, damages or claims to myself/ourself or my/our property arising out of, or connected with, the use of service or facilities of JVBPMC or the premises in which the same is located. JVBPMC accepts no responsibilities of any kind for the Meditation and Yoga activities. I/We do hereby forever release and discharge JVBPMC from all such cause of action.