Annual Family Yoga Retreat Registration
July 29 to August 2, 2010

ONLINE REGISTRATION IS NOW CLOSED.
If you would like to register for the Annual Family Yoga Retreat,
please call us at 250.537.2326 or stop by the office to register in person.

Please complete a registration form for each participant, unless you are registering as a family.
All fields marked * must be completed before the form can be submitted.
 
1. Personal Information:
* Full Name:    
* E-Mail:    
Phone (Day):    
Complete Address:    
 
2. Emergency Contact Information:
Contact Name / Relationship:      
Contact Phone:      
Contact E-Mail:      
 

3. How did you hear about us?  (please specify)  

 
4. We offer a lacto-vegetarian yogic diet. While we do our best to provide options for various diets, we cannot guarantee this. Please list any dietary restrictions:  
 

5. Please indicate your level of yoga postures:   (please comment as needed)  

 

6. Please list any pre-existing health conditions:   (ie. high blood pressure, active asthma and pregnancy stage), active
injuries and prescribed medications that you will be taking at the time of the program.

 
7. Dates Attending:            
 

8. Retreat Fees:   Please list all persons attending, select applicable daily rates, and calculate total.  If you are hoping to register for indoor housing, please contact us first to verify availability.  Due to noise considerations, indoor housing accommodation for families is limited to children over the age of 12.  All children and youth must be accompanied by an adult.
 

DEFINITIONS:  Youth - 13 to 18 years old.  Child - 3 to 12 years old.  Full Day - count one evening plus one morning/midday as
a full day when calculating shorter stays .
NAME Age of
Child/
Youth 		Tuition + Accommodation = Daily Rate Full Days
Attending		 Total
1. $
2. $
3. $
4. $
5. $
    TOTAL: $

10% discount off adult tuition and accommodation fees for early registration (by July 16th)

9. G.S. Sachdev concert:  Admission to the concert is included with 3 or 4 day registrations. If you are registering for less than 3 days and wish to attend the concert, please indicate the number of tickets you would like to purchase below, at the discounted rate of $10. I would like to purchase tickets.

 

10. Bodywork treatments: Interested in receiving a treatment at our on-site Ayurveda wellness centre? We recommend booking at least two weeks in advance to ensure the best availability. For more information or to book an appointment, contact us 250.537.8443 or chikitsashala@saltspringcentre.com.
 

11. PAYMENT METHOD:     PayPal    Credit Card (By Phone)    Personal Cheque / Money Order

All fees must be paid in full to confirm your registration. Rates are quoted in Canadian dollars and include all applicable taxes.

If you select PayPal as your payment method, a PayPal invoice will be emailed to you. It is not necessary to have a PayPal account to use this method. If you wish to phone us with your credit card information, please call us at 250.537.2326. Your credit card number will not be kept in our files subsequent to processing your payment. Please do not under any circumstances send your credit card information by e-mail. We also take Canadian or US cheques and/or money orders. Payments in US funds will be credited toward program fees at the prevailing exchange rate.

12. CANCELLATION POLICY:  * I have read the Salt Spring Centre's Cancellation Policy and agree to its terms.  

   


 

The Salt Spring Centre of Yoga
355 Blackburn Rd., Salt Spring Island, BC, Canada V8K 2B8 Phone: 250.537.2326   Fax: 250.537.2311 
Email: yoga@saltspringcentre.com