Welcome to Our Ayurveda Integration Program



Telephone Number:

Email Address:


Goals for joining our program including how you plan to integrate Ayurveda into your personal and/or professional life:

Please describe your background with Ayurveda, Yoga and/or Meditation.

Date of Birth:

Signing up with Full Payment or Payment Plan. Please take note payment plan is an additional $200.

I have read the full description of this course and the cancelation policy on The Ayurvedic Center's website and understand these terms and conditions. I fully understand that there are no refunds after November 1, 2017 and once application is approved, that there is a non-refundable $500 application fee. This application fee is applied to the cost of the program. Answering yes below indicates your acknowledgement of the above and takes place of your signature.

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