Annual Community Yoga Retreat

Please complete one registration form for each person or family group. All children and youth must be accompanied by an adult. All fields marked * must be completed before the form can be submitted.

Please note: Due to noise considerations, indoor housing accommodation for families is limited to children over the age of 12.

Name of primary person registering*
FirstLast
Gender
- Female
- Male
How many people are you registering for (not including primary person)?*
Please enter a value between 0 and 5.
Full names and ages of other family members attending:*
First Last Age

Click the (+) to add a row for each person attending.
There is no charge for children under the age of 4.
Arrival Date & Time:*
Departure Date & Time:*
Email*
Phone (Day)
Please enter using this format:(888)888-8888
Address*
Street AddressAddress Line 2CityState / Province / RegionZip / Postal CodeCountry
Emergency Contact Information
Contact Name
FirstLast
Relationship with Contact
Contact Phone
Contact Email
How did you hear about the Annual Family Retreat?*
Please provide any additional information that will help us know how you found out about the Salt Spring Centre and/or this program:
We offer a lacto-vegetarian yogic diet. While we do our best to provide options, we cannot guarantee that all restrictions can be accommodated.
Please list any dietary restrictions including the name and age of the participant affected:
Please indicate your levels of yoga:
Yoga Postures*
Please list any health conditions or issues:
(ie. high blood pressure, active asthma, pregnancy stage, active injuries and prescribed medications that you will be taking at the time of the program.)
Choice of Accommodation
As space does quickly fill up, if possible, please indicate a second or third choice.
Please refer to the Fees page for pricing information.
First Choice*
Second Choice
Third Choice
Sliding Scale Payment
The fees for commuters and campers are offered on a sliding scale, to encourage participation of all interested in this program, regardless of financial constraints.
Please consider the number of days you will spend at the centre, the number of meals you will partake in, and your personal finances when deciding how much to contribute to the program. The amount you choose to pay will be kept confidential.

Please see the Fees table for recommended contributions according to age group.
Please indicate the amount that you are willing to pay for each person (applies to commuter or camping accomodation only):*
Name $

Click the (+) to add a row for each person attending.
There is no charge for children under the age of 4.
If none of your choices are available, would you like to be placed on a waiting list?*
- Yes
- No, thanks
Interested in receiving a treatment at our on-site Ayurveda Wellness Centre? We recommend booking at least two weeks in advance to ensure the best availability. For more information or to book an appointment, contact us at 250-537-8443 or email us at chikitsashala@saltspringcentre.com.
PAYMENT METHOD*
- PayPal
- Credit Card (By Phone)
- Personal Cheque/Money Order
All fees must be paid in full to hold your reservation. The Centre registrar will contact you in the business day following receipt of your registration to confirm your invoice total and payment method.
Rates are quoted in Canadian dollars and include all applicable taxes. If you select PayPal as your payment method, a PayPal invoice will be emailed to you. If you wish to phone in your credit card information, please call us 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.
Please read the Salt Spring Centre's Cancellation Policy
Cancellation Policy*
- I have read the Salt Spring Centre's Cancellation Policy and agree to its terms.

Family Retreat at the Salt Spring Centre of Yoga

Annual Community Yoga Retreat – Registration

Emergency Contact Information

Please indicate your levels of yoga:

Choice of Accommodation

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