SOYA Yoga Retreat Registration Registrant Details Tell us about you.Registrant's Name* First Last Email* Phone*Address* Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Is this registration for more than one person?If yes, please click yes and fill out the information below. You can only register two people with this form. Yes Name of second registrant First Last Email Do you require a table to sell products?Tables can be set up in the Registration area at the Sorrento Memorial Hall for Friday and Saturday. Share your products with everyone! Yes No Please describe the products that you will be selling.What size of table do you require? Full table 1/2 table Any other comments? Payment Details Tuition and Payments Cost for Tuition is $325.00 + $16.25 GST = $341.25.How much will you be paying today?* Deposit only, $108.95 Full amount, $341.25 Do you require a payment plan?Payment plans are only available using a credit card. Payments are processed on the 1st and the 15th of the month, with the requirement that the full amount be paid before the start of the event. Yes No, I will etransfer the remaining amount of $232.30 per person before April 15th. No, you can put the remaining amount of $232.30 per person on my credit card on April 15th. Please outline your payment plan below.Only credit cards are accepted for payments plans. E-transfer is no longer available. Number of people you are registering.Please enter numericallyTotal Cost being paid today. $ 0.00 CAD Which payment method would you prefer to use today?* Credit Card E-Transfer (available only in Canada) If you wish to pay by e-transfer, please email elaine.soyayoga@gmail.com with your payment.Credit CardCard Details Cardholder Name Waiver and Cancellation PolicyYour personal data will be used to process your order, support your experience throughout this website, and for other purposes described in our Privacy Policy.*Your personal data will be used to process your order, support your experience throughout this website, and for other purposes described in our Privacy Policy. I understand that my registration must be paid in full by April 15th. I understand that if I cancel my registration prior to April 30th I will be refunded all except my non-refundable deposit. I understand that if I cancel my registration after April 30th, no refunds will be given. I understand that if SOYA must cancel the retreat due to unforeseen circumstances, I will receive a full refund. I understand that upon registration I will be subscribed to SOYA's monthly enewsletter so I can stay informed with upcoming news on these events. I can unsubscribe at any time. I acknowledge that Yoga is not a medical procedure and the Yoga Teacher will not be providing a diagnosis of any medical problems or concerns. I understand Yoga is a process of integration, wholeness, body-awareness and self-awareness. I understand that I am solely responsible for my health, safety and well-being. I will inform the Yoga Teachers of any health concerns I have. I will also inform the Yoga Teachers of any activity or movement which I cannot safely perform, and that I will not perform any activity or movement which I feel is likely to cause me to injure myself. I agree to hold the guest leadership and the South Okanagan Yoga Academy harmless from any and all responsibility for any injury which I may sustain during or as a result of my Yoga sessions. NameThis field is for validation purposes and should be left unchanged.
