Please fill out the following form and also send a recent photo to blessings@paramashiva.org. 

Name *
Name
Birth Name / Maiden Name *
Birth Name / Maiden Name
Birthdate *
Birthdate
Mother's Name *
Mother's Name
Father's Name *
Father's Name
Phone *
Phone
Mailing Address *
Mailing Address
This information is used for initiations, pujas and healings and will be kept confidential and not shared for any reason.