Costa Rica Yoga Retreat Registration

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Costa Rica Yoga Retreat Registration

To register for this Retreat, please provide all required information through the form below. In order to book your space in the Retreat, we must have your Registration Form as well as a non-refundable $500 deposit. Please use the button below the form to submit your deposit. If you require financial assistance please contact us to make other arrangements.

Please note we must have a separate Registration Form and payment for each participant. Thank you!

* Indicates required field

Name *

First

Last

Email *

Phone Number *

Gender (for sleeping arrangements) *

Roommate Request (Full Name) *

Address *

Line 1

Line 2

City

State

Zip Code

Country

How did you hear about this Retreat? *

Internet Search Advertisement Friend Other

If Other please specify: *

What is your age? *

16-18 19-25 26-35 36-50 Over 50

What is your experience with Yoga and/or Meditation? *

Have you ever been to a Yoga or Meditation Retreat before? *

What is the main reason you are attending this Retreat? *

What do you hope to get out of this Retreat? *

Have you ever been to Costa Rica before? If yes, for what reason? *

How would you rate your swimming ability? *

Some of our activities include hiking, how would you rate your fitness level? *

Health Form

Our menu for the week will be delicious, healthy and locally-sourced vegan creations! Please list any allergies (food or otherwise) on the Health Form below.

Do you have any allergies (food or other)? *

Type of reaction: *

Date of last reaction: *

Medication/Treatment for allergy: *

Do you have any other health concerns or dietary restrictions? *

Please list/describe any injuries, conditions or areas of concern: *

Please provide an Emergency Contact:

Name *

First

Last

Phone Number *

Relationship to participant: *

Waiver Form

If at any point in time during your Kala Yoga Retreat, you feel strain, discomfort or pain in an activity, please take rest as needed. You may rest at any time during the class. It is important in Yoga that you listen to your body and respect its limits on any given day, as this can change.

I, the undersigned, understand that yoga & meditation are not a substitute for medical attention, diagnosis or treatment and that I should consult a physician regarding any concern I may have prior to starting a new activity program – including yoga practice. I recognize that it is my responsibility to inform the instructor of any concerns, physical injuries/limitations, or serious illness before the start of each class. During the Retreat, I will not perform any activities to the extent of strain or pain.

I, the undersigned, recognize that it is my responsibility to inform the instructor of any concerns, physical injuries/limitations, or serious illness before the start of the Retreat. I have also advised above of any existing injuries that I have. I understand that the information given above is personal, and will not be shared with any third party, but may be recorded on my file for safety reasons.

I understand that the instructors, facilitators and facility coordinators of Kala Yoga and Solfeggio Retreat Sanctuary are not liable for any damages or injury to person or property, resulting from attending a Kala Yoga Retreat or participating in any activities during the Retreat. I am responsible for my own safety.

Please indicate you have read and agree to the above: *

I agree to the above terms.

Submit

Payment

The deposit for this Retreat is $500 per person. The deposit is non-refundable. Please submit payment using the button below to pay via Credit Card or Visa Debit. If you wish to make payment another way, please contact us (we can also accept E-Transfer, or you can make a payment at the Studio via card, cash or cheque.

The remainder of the cost will be split into two installments of $851.75, due December 1st and February 1st (for Early Bird rate). If you require a payment plan or financial assistance, please contact Laurin and Jason to arrange a plan that will work for you.
Thank you! We are so excited to have you joining us for this Retreat!

Pay Now to Secure Your Spot

What to Bring

Once you have registered, you will be sent a confirmation, and we will provide a list of what items to bring, what you are responsible for (flights, passport, travel insurance, etc), as well as shuttles and other important information. Please don't hesitate to contact us with any questions or concerns!

You will also be sent reminder emails with any additional information leading up to the Retreat. Thank you for joining us, we can't wait to spend an unforgettable week in Costa Rica with you! Pura Vida!

SEE YOU ON THE MAT! NAMASTE

EMAIL ADDRESS
info@kalayoga.ca

PHONE NUMBER
519-938-8848

PHYSICAL ADDRESS
229 Broadway
Orangeville, Ontario, L9W 1K4

NEWSLETTER SIGNUP

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Email *

HOURS

Monday - Thursday

9:30 AM to 11:00 AM
5:00 PM to 9:00 PM

Saturday

9:00 AM to 11:00 AM

Sunday

9:30 AM to 12:45 PM
5:30 PM to 7 PM