Online Application

Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Payment *

I have paid my deposit to the account listed below

Disclaimer & Terms of Use Required for our Insurance *

For Heart Of Living Yoga Foundation insurance purposes, it is necessary to agree to the following Disclaimer & Terms of Use. “Heart Of Living Yoga Foundation services are for self-development and for informational and educational purposes only. Nothing herein is intended to, nor should it ever, take the place of any medical, legal, financial, psychological, or other professional advice. If expert advice or counselling is needed, the services of a competent professional should be sought. The advice and opinions offered do not constitute a substitute for professional therapy, or other types of professional advice and intervention. Heart Of Living Yoga Foundation do not assume any responsibility for errors, omissions, or contrary interpretations of the subject matter herein and will not be liable for any direct, indirect, consequential, special, exemplary or other damages arising therefrom. Heart Of Living Yoga Foundation assumes no responsibility for any consequence relating directly or indirectly to any action or inaction you take based on the information, material or opinions communicated. You agree to indemnify Heart Of Living Yoga Foundation against all claims, actions, suits, or other proceedings arising out of or incurred in connection with your use of these services.

Yes, I have read, understood and agree.

No, could we please discuss this further.

Electronic Signature *

Writing your name here acts as a signature to the above

First Name

Last Name

Date signed *

MM

DD

YYYY