Salt Spring Centre of Yoga
YOGA GETAWAY 2008 Program Registration
Please complete a registration form for each person.
1. Program Dates: (pleace circle)
March 28 - 30 |
June 20 - 22 |
April 18 - 20 |
Sept 26 - 28 |
May 30 - June 1 or 2 (optional day) |
Nov 7 - 9 or 10 (optional day) |
Full Name _________________________________________________________________________________
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)
New Beginner Continuing Beginner Intermediate Advanced
6. Please indicate your level of pranayama (breathing practices) and meditation:
(Please circle and comment as needed)
Beginning Intermediate
check here if you are a new beginner to pranayama and meditation
7. Tuition - tuition and accommodation are calculated separately.
2 nights - $130 (Friday pm through Sunday brunch)
3 nights - (May 30 - June 2 and Nov 7 - 10 only)- $150 (Friday pm through Monday brunch)
8. Accommodation - Rates below are per person and include accommodation, all vegetarian meals, tea bar, wood-fired sauna, hot-tub, evening program(s), and optional Sunday afternoon theory class (3-night option).
|
|
2 nights |
3 nights |
Commuter |
|
$86 |
$118 |
Camping (for May, June, July only) |
|
$118 |
$162 |
Shared - with shared bath (2-4 persons) |
|
$182 |
$250 |
Shared - with ensuite (1 - 2 persons: double bed) |
|
$193 |
$267 |
Private - with shared bath |
|
$234 |
$322 |
Private - with ensuite |
|
$254 |
$349 |
9. 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. ___________________________________________________________________________________________
10. SPECIAL DISCOUNT RATE - Bring a friend and receive a $50 reduction per person.
|
Accommodation: My first choice is _________________________________ |
$________________ |
||
Tuition: |
$________________ |
||
Discount if applicable: |
$ (______________) |
||
TOTAL: |
$________________ |
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