Omtara | July 2022 Yoga Retreat Questionnaire

First Name

Last Name

Phone

What pronouns do you use to refer to yourself?

What is your experience level in Kundalini Yoga? All levels are welcome at this retreat.

Very Experienced

It's a regular practice for me

I have done some Kundalini Yoga, not a lot

I am new to Kundalini Yoga

Please describe your experience with other forms of yoga & meditation:

What is your intention and/or what do you hope to receive from this OmTara retreat?

Do you have any physical, emotional or spiritual considerations that you would like us to be aware of?

Do you have any injuries or medical conditions that we should be aware of?

YES - I would prefer VEGAN/GLUTEN FREE MEAL OPTIONS

Thank you! Your form has been submitted.

Sing & meditate along with OmTara @ omtaramusic.com