Cart
Ananda
Ananda Village

Fulfilling Yogananda's Vision of World Brotherhood Colonies

Menu
  • Home
    • What is Ananda Village?
    • Guiding Principles
    • History of Ananda
    • Membership at Ananda
    • Contact
    • Close
  • Activities & Events
  • Community Life
  • Programs
    • Living Discipleship
    • Close
  • Temple of Light
  • Our Retreats
  • Explore Ananda

Living Discipleship Medical Form

Step 1 of 6

16%
  • Please fill out this questionnaire completely and honestly. The information you provide will be respected and is considered confidential. It will be shared with medical personnel in case of emergency, accident or illness, as required. Information that relates to your ability to practice yoga postures safely (high blood pressure, structural issues, or others) will be shared with yoga postures instructors to help them guide you appropriately.

    Your answers will help us to work with you as a multi-dimensional individual. Your well-being throughout the program is our highest priority.
  • Physical Health History

  • Select the "Ctrl" button on your keyboard to select multiple items.
  • Neurological or Mental Health History

  • Health Insurance

    You are asked to have health insurance when you enter the program, and the program director must have a copy of your health insurance card for the duration of the program. This is kept for emergencies, along with this questionnaire, and will be shredded/deleted upon completion of the program. If you will not have regular health insurance by the time of the program, you may purchase this economical health/travelers insurance for the duration of the program:
    TravelInsurance.com
  • Drop files here or
    Max. file size: 1 MB.
    • Emergency Contact

    • Authorization & Consent

    Ananda Logo

    Explore Ananda

    What Is Ananda?

    Ananda is a worldwide movement to help you realize the joy of your own higher Self. It is based on the teachings of Paramhansa Yogananda and was founded by his direct disciple Swami Kriyananda in 1968.

    © Ananda Village 2017 ♦ 14618 Tyler Foote Road, Nevada City, CA 95959 ♦ (530) 478-7500 ♦ [email protected]

    Retreats and Classes
    • Online with Ananda
    • Virtual Community
    Around the World
    • Ananda Village
    • Ananda Sangha Europa
    • Ananda India
    • Ananda Español
    • Find Ananda Near You
    Products
    • Crystal Clarity Publishers
    • Treasures Along the Path
    Schools
    • Living Wisdom K – 12 Schools
    • The Education for Life Philosophy
    Support Ananda
    • Donate
    • Ways to Give
    • Estate Planning

    Copyright © Ananda Village, 2023

    ® The Joy Symbol is a trademark registered by Ananda Sangha Worldwide

    Privacy Policy

    Close
    Ananda Village

    Contact Us

    [email protected]
    530-478-7500

    Master's Market

    530-478-7550

    Living Wisdom School

    530-478-7640

    Crystal Hermitage Gardens


    Worldwide

    Ananda Worldwide

    Find Ananda Near You

    Kriya Yoga

    Online Classes, Events, and Community

    Retreats in the U.S., Italy, and India

    Books, Music, Talks, and More

    Our Spiritual Lineage

    Our Spiritual Directors


    More from Ananda

    Around the World

    Find Ananda Near You

    Ananda India

    Ananda Sangha Europa

    Virtual Community

    Products

    Treasures Along the Path

    Schools

    The Education for Life Philosophy

    Living Wisdom K – 12 Schools