SOHAM - Immersive Healing Program

Soham - Immersive Healing Program

Registration form cum case record
Please Note:
On registering to the workshop, our team will review your form along with case record and update you on the status of your acceptance into the program over email within a week along with the room payment link as per your choice of room and the payment link for the Workshop.
Select Date*
Full Name*

First NameLast Name
Gender*
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Mobile Number*
(Preferably a WhatsApp number)
Select Accommodation*
Accommodation as per choice will be allotted on first cum first serve basis.
Age*
Height*
(in cm)
Weight*
(KG)
Occupation*
English Proficiency*

YesNo
Select Accommodation

Soham - Immersive Healing Program