AUTHENTIC YOGA TRADITION - VEETRAG YOG
(For Human Excellence)
   
 
Authentic Yoga (Programs)
  - Basic foundation prog.
  - Shanti meditation
  - Health and disease mgmt.
  - Health, harmony and happiness
  - Chaitnya uday
  - Professional Excellence
  - Specialized programs
  - Spiritual development
  - Learning by living
  - Customized program
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A. Section  A - Personal preferences about the Time, Place, Schedule, Module etc.
1. How do you want to attend class ?
Individually with family/friends
in group Others, pl specify...
2. What is the best time for YOU to attend the program/class ?
Morning sessions (6.00 AM to 10.00 AM) Sessions (11.00 AM to 3.00 PM)
Evening sessions (5.00 PM to 9.00 PM) Late Evenings (10.00 PM to 11.30 PM)
Online  
3. What place you find is the best for attending the program
NJ, USA  - SHREYAS - , any other place, pl specify
PA, USA - , any other place, pl specifiy
New York - pl specify...    
Delhi, India - pl specify...    
On line - pl specify...
4. Which Module you prefer for attending SHREYAS Programs
Regular -1.5 hours- 2.00 hours / day /1-3 times a week for 25-50 sessions depending upon the program chosen
Intensive and Accelerated- 2.5 hours (Intensive) / day/ 1-3 times a week  and 4.00 to 5.00 hours/day (Accelerated Schedule) for 5-10 sessions
Short Term -5 hours /day /1-3 times a week/ fortnight/month days depending upon the program chosen
Weekly -5 hours /day /1-2 times a week for 10 sessions or more
Residential-2-5 days residential
Individual, Group & Package- offers package programs for individuals, groups. Ask for details about the package offer.
Morning-Afternoon -Evening-Night  sessions - offering these programs in sessions of 1.5 hours to 4 hours duration at different locations in USA and India
Spiritual Retreats - Himalayas in India and also in USA
5. Which Schedule suits you the best
Please write briefly which days of the week, weekends and time you are FREE to attend the program so that we will contact you for finalizing the schedule that fits you the best
Weekdays (specify the days and Time) ...
Weekends (specify the days and Time) ...
Section B - Choose the Program U like to attend /participate Choose the Program/course you like/ likely to attend Leave the question and follow only that interests you
6. Programs ( pl tick mark that applies)
Authentic Yoga and Meditation programs  
     Basic Foundation Program on Authentic Yoga Tradition (AYT)
     Health and Disease Management
     Health, Harmony and Happiness
     Human Excellence - Professional
     Specialized Programs - corporate, Seniors, Youth Violence, Stress Management, Meditation etc
     Spiritual Development - Based on the combined wisdoms of Yoga, Science and Spirituality(YSS)
     Learning by Living based on authentic teachings of Yoga and Spirituality
     Customized Program designed for U
Pilates
Alexander Techniques
Hath Yoga
Ashtang Yoga
Iyenger Yoga
Kundalini Yoga
Gentle Yoga
Power Yoga
Integral Yoga
Any other (please specify)
7. Courses - Education and Certification
Introductory Course on Authentic Yoga Tradition
-Certificate Course in Yoga , Spirituality and Science - 100 +30 hours
Basic Certificate in Yoga Philosophy and Practice (Teacher’s Training Program)
-200+50 Hours includes Course on Authentic Yoga Tradition
Intermediate Teacher’s Training Programs  known as Intermediate certificate in SHREYAS Teacher’s Training- 500 +100 Hours
Advanced Teacher’s Training -1000+400 hours
Continuing Education in Yoga, Science and Spirituality
Certificate in Spiritual Teaching  /Mentor
Choose the Certification, Pl write about your previous certification, age, experience and interests , we will offer you the best Continuing Education Course
Any other, please specify
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12. Entrepreneurship/Business Opportunity 
Yoga and allied sciences are now over $220 billion dollar industry. The earning potential is very high in short time for those who know this science deeply.  SHREYAS has developed  different Business Project with very high earning potential besides collective evolution.
Are you willing to join as
Entrepreneur   Vendor/ Investor Management Expert
Marketing Expert    Writing/Editing Product Development
Section B - Choose the Program U like to attend /participate Choose the Program/course you like/ likely to attend Leave the question and follow only that interests you
13. Products
Herbal, Yoga, Natural, organic  and other products are now replacing many of products that we use for in daily
lives, besides , products that helps one spiritually are also increasing day by day. SHREYAS is taking up all these
one by one to ensure people get them at cost effective price easily.
Are you interested in buying/ selling of the products listed below
Beads, Yantras, Mats, Neti Pot, herbal/ Ayurvedic products, ancient yoga, spiritual books, audio-visual CD’s,
DVD’s, or any other products , kindly write briefly , we will contact you for buying/selling the same
Section-C Personal Information
Name: Age : Sex:M/F 
 
Area of expertise
Town State
Zip Country
Phone: Home Mobile: 
Email: Website (if any)
ID for Online Talk / Conference -
1. Google 2. Yahoo
3. Skype   4. Any other
Meal timings (Specify time)
Breakfast - Lunch - Dinner -
Do you suffer from any diseases? Yes / No. If Yes, please specify or send scanned copies of investigation:
Are you on any Medication? Yes / No if Yes (pl. specify) :
Time you get up in the morning? -
 
Time you sleep? -
 
Psychological factors dominant in your personality:
a) Emotional upsets
d) Anger Episodes
c) Anxiety
b) Depression
e) Frustration
f) Others
Have you ever attended any course on yoga / Personality Development / Meditation etc? If yes, give details, duration, teacher etc.
Are you practicing anything for your personal development e.g. Meditation, Relaxation, Asana, Pranayama etc. If yes, give details of practice / teacher / duration?
What are your expectations about the course
I want to know in detail about SHREYAS Program I have chosen above before I decide to attend
Please Contact Me on

By signing below I understand and agree:
I , hereby apply for FREE registration for attending programs/courses/ talks etc mentioned above. I have voluntarily joined the program and abide by all rules and regulations including practices as guided by Acharya Girish Jha and his Team for the best results. I will take medical advice before attending the program. No contract can arise by means of email submission of Free Registration Form unless specifically mentioned and or replied in affirmation.

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