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registration form

Retreat Duration: Thursday, October 19th to Sunday, October 22nd 2023

Primary Instructor & Host: Harsha Sipani

Secondary Instructor & Host: Rajesh Khanna

Location Address: Azaya Beach Resort Goa

                          336/0, Village Calwaddo, Benaulim,

                          Goa - 403716


Please fill out the registration form and make payments.

By Filling this form you accept the agreement and T&C on this page

Thanks for submitting!


By enrolling in this Retreat |Workshop, you agree to the following terms and conditions,

I understand that I may be photographed or videotaped during the Retreat |Workshop, and these images and/or videos may be posted publicly on social media.

I understand that payment must be made in full to reserve my seat in Retreat |Workshop.

I understand that my payment is non-refundable unless I can find someone to take my place.

I understand that in the event this Retreat |Workshop is cancelled due to local government-imposed restrictions due to COVID-19, organizers will provide a full refund for the workshop cost only. Any and all other costs incurred will not be compensated.

I understand If I cannot attend due to testing positive with COVID-19 the organizers will make every effort to find someone to replace me. However any and all other costs incurred will not be compensated.

Special requirements

Please advise of any allergies or dietary restrictions.


Please specify the type of accommodation you're selecting (Single or Twin Sharing)

Waiver of Liability

“I expressly acknowledge and agree that Harsha Sipani and Rajesh Khanna or any of their agents shall not be liable for any claims or damages arising from personal injury sustained, nor for any loss or theft of personal property, however caused.”

payment details

Account Number: 914010019541566


IFSC Code: UTIB0001920

Branch Details: 004, UGF, Motati Meadows, No 45, Apartment, Old Madras Rd, C V Raman Nagar, Bengaluru, Karnataka 560093, India



Please Note that this an NRO A/C

Please share NEFT/RTGS receipt or proof of payment over email at

Payment Details
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