Personal Retreat Registration Form

Personal Retreat 2017 Registration

Please complete one registration form for each person. All fields marked * must be completed before the form can be submitted. After clicking on submit you will be redirected to Paypal to make an online payment for the non-refundable registration fee of $31.50. The registration payment will be credited towards your program fee. (You do not need a Paypal account to make this payment).

Please confirm availability with us before filling out the form.

  • Please indicate the dates you will arrive and depart
  • Guest Information

  • An automatic email confirmation will be sent to this address when you submit this registration form.
    If you do not receive a confirmation email within 1 business day, please contact us to ensure we received your registration.
    If this is a surprise gift for someone, please enter the recipient's email address in the \"Additional comments\" field at the end and enter your own email address here.
  • Please enter using this format: (888)888-8888
  • Emergency Contact Information

    Please complete the following section if this is the first time you are participating in a program at the Salt Spring Centre of Yoga, or if your emergency contact information has changed since your last registration.
  • Dietary & Health Considerations

  • Diet

    We offer a lacto-vegetarian yogic diet (no meat, fish, eggs, onions or garlic). Please list all dietary allergies that require medical attention and their severity (ingesting vs. being in contact). Also please list any additional dietary concerns or intolerances.

  • (e.g. 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

  • Fees

    Fees include yoga classes and accommodation (lodging, vegetarian meals and snacks, tea bar and all facility usage). Commuter rates include yoga classes, vegetarian meals and snacks, tea bar and all facility usage). Taxes will be added to all fees.

  • **Meals are included in the Commuting rate.
  • Confirmation

  • Price: $ 31.50 CAD
  • After clicking on submit you will be redirected to Paypal to make an online payment for the non-refundable registration fee. The registration payment will be credited towards your program fee. You do not need a Paypal account to make this payment.

    Please note, if you do not make this payment, your registration will not be submitted to us.

    We will process your registration within 2 business days. When we have processed your registration, we will send you an invoice via email. We ask that you pay this invoice within 7 days of receipt in order to confirm your spot in the program

    Stay connected with us. The Salt Spring Centre sends out a monthly newsletter with information about our upcoming programs, our community, announcements and interesting articles. Occasionally we send out other important announcements. You can unsubsribe at any time.
© Salt Spring Centre of Yoga 2017