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    Registrationformoct 2014

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    api-264151268
    This document is a registration form for the "Beyond Addiction Retreat in Peru, Cusco Sacred Valley" taking place from October 18-28. The retreat consists of 70 hours of yoga teacher training and visits to sacred Inca sites. The yoga program costs $1850 plus a $500 deposit is required by August 18 to hold a space, with the balance due by then as well. Lodging, meals and excursions are an additional $1000. The form requests contact information, background with yoga and addictions, and includes payment and cancellation policies.

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    © All Rights Reserved
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    Registrationformoct 2014

    Uploaded by

    api-264151268
    420 views2 pages
    This document is a registration form for the "Beyond Addiction Retreat in Peru, Cusco Sacred Valley" taking place from October 18-28. The retreat consists of 70 hours of yoga teacher training and visits to sacred Inca sites. The yoga program costs $1850 plus a $500 deposit is required by August 18 to hold a space, with the balance due by then as well. Lodging, meals and excursions are an additional $1000. The form requests contact information, background with yoga and addictions, and includes payment and cancellation policies.

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    registrationformoct2014

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    This document is a registration form for the "Beyond Addiction Retreat in Peru, Cusco Sacred Valley" taking place from October 18-28. The retreat consists of 70 hours of yoga teacher training and visits to sacred Inca sites. The yoga program costs $1850 plus a $500 deposit is required by August 18 to hold a space, with the balance due by then as well. Lodging, meals and excursions are an additional $1000. The form requests contact information, background with yoga and addictions, and includes payment and cancellation policies.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    420 views2 pages

    Registrationformoct 2014

    Uploaded by

    api-264151268
    This document is a registration form for the "Beyond Addiction Retreat in Peru, Cusco Sacred Valley" taking place from October 18-28. The retreat consists of 70 hours of yoga teacher training and visits to sacred Inca sites. The yoga program costs $1850 plus a $500 deposit is required by August 18 to hold a space, with the balance due by then as well. Lodging, meals and excursions are an additional $1000. The form requests contact information, background with yoga and addictions, and includes payment and cancellation policies.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 2

    Beyond Addiction Retreat in Peru

    (Please print)

    Registration Form

    Name: ___________________________________________________________
    Address:______________________________________________________________________ Postal Code:
    _______________________
    Telephone: (h)_______________________________(w) ___________________________________
    Email: _______________________________________Fax: _______________________________________
    Age:_______________
    Profession:___________________________________________________________________________________
    __
    Describe previous experience with yoga
    _____________________________________________________________________________
    ______________________________________________________________________________________________
    ______________________________
    What is your background with addictions
    ______________________________________________________________________________
    ______________________________________________________________________________________________
    ________________________________

    I would like to register for the Beyond Addiction Retreat in Peru, Cusco Sacred
    Valley.
    The retreat consists of 70 hours of teacher training and visits to sacred Inca sites.
    Start: Saturday October 18th at 12.00 pm.
    Ends: Tuesday October 28th at 9.00 am.
    - Yoga costs: US$ 1850 (no tax) payable to Carole Galand (see info bellow)
    - US$ 500 deposit is required to hold a space. Balance is required by August 18,
    2014 deadline.
    - Costs increases to US$ 2100 (no tax) after July 18, 2014.
    Includes yoga program Beyond Addiction facilitated by Tej Kaur and Pavan Pal
    Kaur
    - Lodging, Meals and Excursions: US$1000 (no tax) payable to Atalaya,
    http://www.atalayaperu.com, contact Magda Ruiz , upon arrival.
    To Register: Please make out a cheque or money order to Carole Galand and send
    it to:
    Carole Galand
    348 Palmerston Blvd
    Toronto Ontario
    M6G 2N6 Canada.

    This completed form should be sent by mail, email or fax.


    Before sending a fax, please call: Tej (Carole)
    Space is limited. Please register early.
    Payment by: Cheque Money order Master Card
    Total amount: $ _____________________
    Cancellation Policy: $500 registration fee is non-refundable. The remainder of the
    retreat fee is fully refundable if written notice of cancellation is received before
    August 18, 2014.
    After this date, there is no refund possible.
    Contact Tej (Carole):
    __________________________
    Phone: 1.647.725.7545
    __________________________
    Email: [email protected]

    Signature:
    Date:

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