DEEPEN YOUR PRACTICE - a yoga & study retreat
2010 Program Registration
Please complete a registration form for each person.
All fields with * must be filled out in order for this form to be submitted to us.
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| 1. Personal Information: |
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| 2. Emergency Contact Information:
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3. How did you hear about us? *
(please specify)
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| 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:
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5. Please indicate your levels
of yoga: *
** - The pranayama taught at this retreat is based on the teachings of Baba Hari Dass which are taught in a specific order and method. Please read the following criteria to determine the class level that is appropriate for you:
Beginning Pranayama
- For students who are new to pranayama.
- For students who have learned pranayama in some other school or style of yoga.
- For students who have learned pranayama as taught by Baba Hari Dass but are not practicing regularly as defined below under Intermediate Pranayama.
Intermediate Pranayama
- For students who have received instruction in the beginning level pranayama as taught at the YTT, Annual Retreat or other programs at either Salt Spring Centre or Mount Madonna Center; or from a yoga teacher certified by the SSCY or MMC YTT.
- And are maintaining a regularly daily practice including the 4 purifications and tribandha pranayama (both as taught by Baba Hari Dass) for the 3-month period just prior to the beginning of this retreat.
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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.
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7. Retreat Fees: * Fees include cost of tuition and accommodation (all facility usage, vegetarian meals, tea bar, and evening programs). While every effort will be made to provide your first choice for accommodation, on-site options fill up fast, so if you are willing to consider other accommodation choices, please select "2nd Choice" and "3rd Choice" options.
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| 8. Would you like to come early or stay longer? Yes, I would like to stay for extra nights. No thank you. |
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9. Special Discount: For those staying in-house in shared accommodations, bring a friend for a $50 reduction each! Commuters who bring a friend each receive a $25 reduction.
Friend's Name: |
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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.
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11. PAYMENT METHOD:
PayPal
Credit Card (By Phone)
Personal Cheque / Money Order
All fees must be paid in full to hold your reservation. 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. If you wish to phone in 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.
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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 |