Salt Spring Centre of Yoga  

GOING DEEPER - A Yoga & study Retreat
2008 Program Registration
Please complete a registration form for each person.
 

Full Name   ___________________________________________________________ Male / Female ____________

Email  ______________________________________________________ Phone (Day)______________________

Complete Address  _____________________________________________________________________________                                 

4. would you like to be housed with friends or family?   Please list their names:  ___________________________

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

Continuing Beginner             Intermediate             Advanced

6. Please indicate your level of pranayama (breathing practices) and meditation:  
(Please circle and comment as needed)

Beginning       Intermediate

7. 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. _________________________________________________________________________________________

8. Tuition - tuition and accommodation are calculated separately.

First 3 nights - $180 (Friday pm through Monday brunch)
First 4 nights - $220 (Friday pm through Tuesday brunch)
Full 6 nights - $300 (Friday pm through Thursday 1 pm)

9. Accommodation - includes two organic lacto-vegetarian meals and afternoon snack per day, tea bar, sauna
and hot-tub use.

3 nights

4 nights

6 nights

Commuter

$118

$151

$215

Shared - with shared bath (2-4 persons)

$250

$319

$445

Shared - with ensuite (1 - 2 persons: double bed)

$267

$340

$485

Private - with shared bath

$322

$410

$585

Private - with ensuite

$349

$445

$635

10. SPECIAL DISCOUNT RATE - Bring a friend and receive a $50 reduction per person for the 3 and 4-day option, or a $75 reduction per person for the full 6-day program.

11. PAYMENT METHOD -   Credit Card    Personal Check / Money Order

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

If you wish to pay by credit card, please contact us by telephone 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. How did you hear about us?
(Please circle and comment as needed)     Friend/Relative ---- Yoga Teacher ---- Brochure ---- Internet ---- Our Website

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