Register for a Sanskara Ceremony at Parmarth

Contact Information
Name*
First Last
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Phone/Mobile*
Please include country code. [Please include only the numbers - no special characters like "-" or "," or "( )" or spaces.]
Email*
Enter Email Confirm Email
Reservation Request
Date of Arrival Requested*
MM slash DD slash YYYY
Approximate Time of Arrival at the Ashram*
Please enter using 24-hour format (for example, 3pm would be enter as 15:00)

Hours :

Minutes
Date of Departure Requested*
MM slash DD slash YYYY
Approximate Time of Departure*
Please enter using 24-hour format (for example, 3pm would be enter as 15:00)

Hours :

Minutes
Number of People in Your Party*
Which sanskara ceremony?*
- Mundan
- Yagno Pavit
- Marriage
- Ash Immersion
- Special Pooja
Please provide details about the requested sanskara, including for whom the ceremony is for:*
Please inform us for whom this ceremony will be done and your relationship to them.
Emergency Contact Information
Emergency Contact Name*
In case of an emergency during your stay at the ashram, please provide us an emergency contact that we may connect with.
First Last
Emergency Contact Phone*
Please include country code. [Please include only the numbers - no special characters like "-" or "," or "( )" or spaces.]
Emergency Contact Email*
Enter Email Confirm Email
Emergency Contact Relationship?*
For example: Mother, friend, etc.
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