Student Membership Form

Join as a Student Member

Thank you for your interest in joining COLORAMA! We are glad to welcome you as one of our members. To get started, please complete and submit the form below. You will then be taken to the checkout area where you can submit payment for your membership.
All memberships will be verified by the membership committee and approved by the membership chair upon receipt. COLORAMA reserves the right to reject a membership application, with full refund, if the membership committee cannot verify your credentials.
Note that we may require additional documentation, including but not limited to current transcripts provided by your program or school, proof of current professional memberships in good standing, and (for professional membership applicants) proof of current continuing education credits.

Student membership Application Form

* Indicates required field

Legal Name *

First

Last

Spiritual Name *

Phone Number *

Email *

Permanent Mailing Address *

Line 1

Line 2

City

State

Zip Code

Country

Permanent Mailing Address Type *

School or Program Information

Name of the school or program you are attending: *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Website *

Program *

If other, please specify: *

Expected Date of Graduation (MM/YYYY) *

School Administrator Information
Please provide the following information for your school's administrator or admissions director. We may use this information to contact the school to verify your student status.

Name *

Phone Number *

Email *

By submitting my application for COLORAMA membership, I attest that the information provided on my application and all supporting documentation is accurate, true and correct. *

I agree

Submit

Address

PO Box 905
Boulder, CO
80306

COLORAMA
Telephone

(720) 336-1092

Email

communications@coloradoayurveda.org