Salt Spring Centre of Yoga

sacred sound and yoga Program Registration
Please complete a registration form for each participant.

1. Program Dates:   __________________________________________
 
2. Personal Information

Full Name   __________________________________________________

Phone - daytime  ______________________

Email  ______________________________________________________

Evening  _____________________________

Street Address                                      City, Prov/State

Postal/Zip

Country 

____________________________________________________________

_________

___________________

 
3. Please list any special dietary needs:   ______________________________________________________________
 

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

 

5. At what level of yoga would you
consider yourself?
(Please circle)

6. How did you hear about the Salt Spring Centre
of Yoga?
(Please circle)

Beginner

Level 1/2

friend/relative

yoga teacher

Beginner/Level 1

Level 2 (intermediate) 

brochure

internet/web 

Level 1

Advanced

other  ______________ 

magazine  ___________

 

Rates for accommodation and tuition are calculated separately.

 

7. Accommodation rates are quoted for the entire program and include all meals, tea service and facility use.

Commuter   $80 per person

Camping   $110 per person (your own equipment)

Dormitory  $146 per person (4-8 persons)

Shared - Main House   $160 per night (2-3 persons)

Shared - Garden House  $180 per night (2-3 persons)

Single  $214 per night

 

My first choice for accommodation is  __________________________  =  $ ________

 

All fees must be paid in full to book your reservation. Rates are quoted in Canadian dollars and include all applicable taxes. We do not take credit or debit cards. We do take Canadian or US cheques and/or money orders. Credit towards program fees will be calculated at the prevailing exchange rate.

8. total enclosed:  accommodation fee  ______________   +  Program Tuition fee $165   =   $ ______________
 

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: info-registration@saltspringcentre.com