Art of Living Part 1 course registration

Course Fee: $120.00
Early registration: $100.00*
Student Fee: $80.00
Repeater Fee: Donation

* Applies when full registration and payment are made 1 week ahead of course date.

Please make sure you fill in all the fields marked with a star (*) in detail.
All information in this application will be kept strictly confidential.

Select course:*
Part 1-Furn-el-Chebbak: Feb 8 - Feb. 10 Part 1 - Baissour - Feb. 1 - Feb.5

First Name:*


Last Name:*


Full address:*


P.O. Box:

Main phone:*


Cell phone:


Work phone:


Email:*

Occupation:

Date of birth:*
DD/MM/YYYY

Gender:* Male Female

How did you hear about this course?

Briefly describe your mental and physical health:*

Please indicate if you have any of these conditions:

Asthma
High Blood Pressure
Breathing Problems
Diabetes
Emphysema
Epilepsy
Heart Disease
Pregnancy

If you are presently under the care of a physician, or have been recently hospitalized, please describe:

If you have a history of mental illness or are currently under the care of a psychiatrist please describe:

Please describe in detail any medications you are taking:

Please list any meditation techniques or other self-development courses/techniques you have done (Dates, techniques and results):

Please list any meditation techniques or other self-development courses/techniques you have taught:

Agreement: I understand that any benefits derived from this course depend upon the extent of my participation. I therefore accept full responsibility for the outcome and I willingly agree to follow all instructions and participate fully. I also agree that I will not disclose the content of this course to anyone. I further agree that I will not attempt to instruct others in any of the techniques used in the course until such time as I receive personal training from The Art of Living Foundation Teacher Training Program. Taking notes and use of audio or video recorders is prohibited.

Notes:
It is recommended that you wear loose and comfortable clothing. Please arrive 15 minutes early on the first day.

*** Attendance to all six sessions is mandatory***
Every session builds upon the work done in the previous session

I agree to the terms listed above:

If you wish to download a registration form Click here