Badrinath with Mohanji

A warm welcome to you for the Badrinath Yatra with Brahmarishi Mohanji 2017 pilgrimage! We sincerely request you to complete the following questionnaire. The answers will help us to organize your Badrinath Yatra in an effective way and serve you better. Please be assured that, your answers will be kept confidential.

Badrinath Yatra Track (required)

PERSONAL INFORMATION



First and Last Name (required)

Date of birth (required)

Gender (required)

Phone/Mobile with country code For e.g., +91 for India (required)

Email address (required)

Passport photo - only JPEG, JPG or PNG files < 2MB. Preferred format for filename (required)

Mailing Address (required)

Nationality (required)

Country of residence (required)

EMERGENCY CONTACT INFORMATION (Important)


First and Last Name (required)

Gender (required)

Phone/Mobile with country code For e.g., +91 for India (required)

Email address (required)

Relationship (required)

Mailing Address (required)

Country of residence (required)

HEALTH CONDITIONS


Do you have any major health problems including surgeries, genetic disorders or any kind of psychosomatic illnesses? If yes, please specify.(required)

Are you taking any medications? If yes, please specify.(required)

Do you have dietary restrictions? If yes, please specify.(required)

D. PHYSICAL FITNESS

Your physical fitness is important to face the adverse weather and altitude conditions during the Yatra. However, your conviction and faith will matter more.

What is your Height (in cm) (required)?

What is your Weight (in Kgs) (required)?

What is your Blood Group? (required)

How often do you exercise?

How often do you practice Yoga?

How often do you practice Pranayam (breathing exercises)?

How do you rate your consistency in spiritual practices?

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GENERAL INFORMATION


How did you hear about this program? (required)

Have you ever participated in any other programs or activities of Mohanji Foundation or any other Master or organization? If yes, please specify what kind of activities and for how many months/years.

What do you expect from this retreat? What do you hope to gain from it?

Please provide your T-SHIRT Size
SMLXLXXL

7. SPIRITUAL JOURNEY AND DESTINATION


Kindly write a short essay about your spiritual journey and what destination you hope to reach (minimum 200 words). Please note that there is no right or wrong answer. We simply would like to get to know you better. (required)

NOTES AND RECOMMENDATIONS

  1. The region around the Badrinath with Brahmarishi Mohanji pilgrimage is known for its unpredictability due to sudden climatic changes at high altitude. This may adversely affect the pilgrimage and it is beyond the control of the organizers. We regret that, in such a case, the cost is not refundable.
  2. This Badrinath with Brahmarishi Mohanji pilgrimage involves short to medium treks on the mountains. We endeavour to reduce the amount of walking involved. However, the pilgrim will be expected to trek over 3-5kms at a stretch on a couple of days of the pilgrimage. We request the pilgrim to be prepared with the required physical conditioning for such activity.
  3. Your safety will always be our highest concern. Based on the health/medical details provided in your application form, the Badrinath with Brahmarishi Mohanji team may request you to furnish a provisional clearance from your doctor and/or, optionally, a go-ahead from your next-of-kin as a pre-condition for registration.
  4. Have you recently checked your hemoglobin? If not, please check it.
  5. Please consult your doctor and have supplements for iron, vit B12 and calcium for a month or two before the Yatra. If you have serious health conditions, we would recommend that you consult with a physician to help you take a studied call on your health condition vis-a-vis high altitude environments before you embark on the trip

TERMS AND CONDITIONS

  I hereby confirm that I have personally filled all the information correctly and consciously, and I am carrying full responsibility for attending this pilgrimage.

  I take full responsibility for my physical condition including consulting with a medical practitioner to evaluate my health condition vis-a-vis high altitude environments should I feel the need or if I am asked so. I confirm that Brahmarishi Mohanji, Mohanji Foundation, any of the people or venues associated with Mohanji will bear no liability should any medical matter arise and I shall be financially responsible for any consequential medical, evacuation, accommodation or related expenses

  I hereby agree that Brahmarishi Mohanji, Mohanji Foundation, any of the people or venues associated with Mohanji shall not be responsible for any of the possible consequences related to the attendance to the pilgrimage. I hereby agree Brahmarishi Mohanji, Mohanji Foundation, including all organizers and assistants associated with Mohanji Foundation will not be held responsible for any loss or damage whatsoever and I waive all rights to compensation in case of injury or loss.

  I accept that Brahmarishi Mohanji, Mohanji Foundation, any of the people or venues associated with Mohanji will not be held accountable for any changes due to change of official rules and laws of Tibet. Moreover, I agree that they are not liable for any changes in the itinerary due to unavoidable circumstances such as landslide, road blockage, flood, snow, political unrest, cancellation of flight, sickness and accidents. I hereby agree to pay any extra cost arising due to the above circumstances on the spot.

  I understand that the registration is complete only after paying the full fee and that the contribution is non-refundable and registration is non-transferable. Likewise, any changes in the schedule of the program by the Mohanji Foundation will be notified in advance. In case of cancellation of the program, attributed to any cause that is beyond the reasonable control, including natural disasters like floods, fire, tempest or conditions caused by men, such as war, revolutions etc. the program charges will not be refundable.

  I welcome supporting Mohanji Foundation and its associates by enabling them to use my images, if necessary, and video footage in its publications and media placements. Should I wish to be excluded, it is my responsibility to inform Badrinath with Brahmarishi Mohanji organisers at the time of registration.

DISCLAIMER

Please review if all mandatory questions are answered before you submit your application.