Center for Quantum Health Workshop Registration Form

Please complete and submit the following Workshop Registration Form. When we receive this form, a PayPal Invoice to complete payment will be emailed to you. After Payment is received, your registration confirmation & workshop details will be sent to you.

First Name*

Last Name*

Address*

City*

State*

Country*

Zip*

First-time attendee of our workshops?*

Email*

Telephone*

Name of Workshop*

Terms
I acknowledge and understand that the information provided in this workshop are recommendations and suggestions only. It is based on Vedic wisdom & yogic practices and is not intended to replace any medical care that you are receiving. These practices are intended as stress management techniques and is safe when used as prescribed. Please check with your medical care provider to see if any Breathing or yogic practices will interfere with your treatment / health care regimens.(Electronically signed)

I Agree to Above Terms*