KRIYA Ketamine Research Institute

Application 2019

Please go to the main page for KRIYA Conference 2019 for detailed information about this event. Then, if you would like to attend, please complete the application form below. This form is required for all conference attendees, speakers, and staff (crew).
















This entire conference will be recorded (audio and video) by the event staff. These recordings may be made available to the public in the future.*

Attendees may not make their own audio or video recordings at the conference. Still photos are allowed (and encouraged).*

Do you require a Service Animal at this event?*

Are you planning to apply for a speaker slot?

READ THIS: On the next screen, you will be asked to pre-authorize a future payment on your credit card for up to $895. Your credit card will not be charged until you are offered a confirmed seat. If you apply for a speaker slot, and your talk is selected, your card will be charged $395 instead.

Conference Fee:

Press the “Continue” button below to send your registration information to KRIYA Institute and go to the secure payment window.