iStar 2020 is cancelled due to Coronavirus Outbreak. Next iStar will be conducted in the year 2021.
Gender* Male Female
Please provide two references of Mahatmas who know you well.
Please verify the emergency contact details and change if necessary.
Has the Participant received recommended vaccinations for travel to india:* Yes No
How is the participant's general physical condition ? Please specify if there are any physical difficulties. *
Does the Participant have any chronic / recurring conditions? Please specify if there are any. *
Is Participant taking any type of medication ? (if yes please provide details below.)* Yes No
Renewable Prescription Yes No
Medication Instructions (with / before / after meals, at bedtime, etc, and contraindications, not with food / alcohol, etc):
Medication: (Prescription or over the counter / self-medication). Please ensure sufficient supply for the trip's duration.
Parent's Authorization
The information listed on this health information form is correct to the best of my knowledge, and the Participant described herein has permission to engage in all prescribed activities, except as noted on this form.
I, as a parent, authorize iStar personnel to seek emergency treatment / appropriate treatment as required and to transport my child to the appropriate medical facility in the event that urgent/emergency care is necessary, prior to my notification.
Confirmation of Parent* I Agree
Note: In the event of an emergency all attempts will be made to contact the parent/guardian at the contact details provided prior to treatment if time allows.
My signature below indicates that:
Confirmation of Participant* I Agree
Things to bring to the retreat
Please make sure that your name is CLEARLY MARKED on ALL of your belongings that you bring to the retreat
The following is a checklist to help you prepare for the retreat: