Scholarship Application Form

Sacred Rhythms Dance & Yoga Retreat in India

Retreat Dates: 📅 Mysore: December 27, 2025 – January 2, 2026 📅 Optional Extension – Bangalore: January 2 – 4, 2026 (Scholarships apply only to the Mysore retreat. The Bangalore extension is not included.)

We are honored to offer a limited number of partial scholarships to support dedicated students who feel called to join this transformative journey in India.Please complete this form with sincerity so we may consider your application.

Names

Last Name

Date of Birth

Day

Month

Year

Phone Number (including WhatsApp)

Address

Your photo

Upload your passport photo or scanned copy

Do you already have your Indian e-Visa?

Yes

If not, we recommend applying online at the official website:👉 https://indianvisaonline.gov.in/evisa/

Please make sure your passport is valid for at least 6 months after your arrival in India and has two blank pagesavailable for entry stamps.

⚠️ Note: The e-Visa cannot be extended or converted once you are in In

Upload your E-visa

If you don’t have it right now, don’t worry — you can send it later by email to pneumadance@pneumainstitute.org

Motivation & Background

How do you feel this retreat can support your personal, artistic, or spiritual growth?

Have you previously practiced Yoga, Indian Classical Dance, or similar disciplines? If yes, please describe briefly.

Why are you interested in joining this retreat in India?

Which program will you join?

Mysore Retreat

Post-Retreat Bangalore

If it’s both, select both options.

Financial Need & Commitment

Please share your current situation and why you are applying for a scholarship.

Are you willing to offer service or support during the retreat (such as logistics, photography, translation, community care, or other contributions) as part of your scholarship commitment?

Yes

I may contribute by…

Payment Information

Registration Fee:💳 $150 USD or $500 After completing your form, please contact the coordination team to confirm the total amount and the monthly payments to be made.

Payment Schedule

Mysore Retreat (Dec 27 – Jan 2, 2026):

Deposit (Reservation): October
2nd Payment: November
3rd Payment: December

Optional Bangalore Post-Retreat (Jan 2 – 4, 2026):

Additional Reservation: $380 USD | October

Signature

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It is our great pleasure to welcome you to this beautiful experience. Please do not hesitate to contact us if you have any questions or doubts.

After completing your payment, kindly share the confirmation with us at pneumadance@pneumainstitute.org or in our private Chat in WhatsApp.

Welcome, and thank you very much! Pneuma Dance