Sign Up

    Pranayama LEVEL 2 Week-end, Sn Brahmananda, English with italian translation, 25 - 27 June 2021

    Prakriti, residential retreat in Italian language 20 - 25 July 2021

    Yantra e Mantra Retreat, led by Brahmananda and Antarshuddhi in english with italian translation, 30 July- 1 August 2021

    Yantra and Mantra Retreat, led by Sn Brahmananda and Sn Antarshuddhi, English language, 8 - 15 August 2021

    Introduction to meditation, led by Brahmananda in english with italian translation, 3 - 5 Settembre 2021

    Your Name (required)

    Spiritual Name (if applicable)

    I am a member

    Date of birth (required only for NON-MEMBERS)

    Birth place (required only for NON-MEMBERS)

    Gender (required) FM

    Age (required)

    Address (required)

    Country (required)

    Your Email (required)

    Mobile (required)

    Occupation/Profession (required)

    All activities are open only to members of Grempoli Retreat Association. To become a member please fill in the form and add Euro 10 per annual membership card (valid from 1st of January to 31st December).

    I hereby declare that I have read and understood the Association’s Statute (Aims and Objects of the Association) and that I share the purposes of the Association and request to be a member and to participate in its activities:

    Aims and Objects GR

    It is important that the workshop teacher is aware of any factors that may affect your practice. This will be kept strictly confidential and is to ensure that alternative practices or variations are given when appropriate.
    Info and privacy: In compliance with the Italian Legislative Decree no. D.Lgs. 196/03, and GDPR n, 2016/679, I hereby authorize Grempoli Retreat Association to use and process my personal details contained in this document only for internal communication.
    Any telephone numbers or e-mail addresses spontaneously provided by the applicant can be used exclusively as a means of communication between Members.

    Emergency Contact Number (i.e. friend or family member):

    Please indicate if you currently have condition that we need to know: "Yes" "No"]

    High or Low blood pressureYesNo

    Spine or neck injury or condition YesNo

    If ‘Yes’ to any of the above, please give details:

    Any other medical conditions or anything else the teacher may need to know?

    Have you practised yoga and meditation before? What kind and for how long?

    Do you have any food allergies?

    Do you have any additional questions?

    How did you find out about this workshop?

    Thank you for taking the time to fill in this form.

    After receiving confirmation of acceptance, a non refundable and non transferable deposit will be required via bank transfer. The balance payment will be required two weeks before the event or workshop.

    Cancellation policy:

    The confirmation deposit is non refundable and non transferable. If the total fee, or part of it, is paid in advance, this is fully refundable less the deposit if cancellation is four weeks prior to the event. Within four to two weeks of the event there will be a 25% cancellation fee in addition to the deposit. Within two weeks no refund will be possible.

    I read and accept cancellation policy