ANUSARA YOGA 100-HOUR IMMERSION PROGRAM

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AUG 12-27, 2017 | SAIGON, VIETNAM

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100-HOUR IMMERSION A & B: Aug 12-27

Only 50-HOUR IMMERSION A: Aug 12-20

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Name *

Address *

Country *

Phone *

Include country code

I was born on *

YYYY

Email *

All Inclusive Room Package = Yoga Course, Accommodation & Food *

Early Bird pricing = Paid in Full before July 1st. (After July 1st)

100-hour in Shared Room: 1,750 USD (2,000)

50-hour in Shared Room: 900 USD (1,000)

100-hour in Private Room: 2,050 USD (2,300)

50-hour in Private Room: 1,200 USD (1,300)

Other:

Profession *

Yoga Background *

How long, types of practice, etc

Anusara Yoga *

Previous experience, if any?

Holistic Modalities *

Any other types of mind-body practices?

Yoga Teaching *

Previous experience, if any?

Health *

Medical conditions, physical limitations, injuries, etc

Other *

Anything else you would like to share?

Liability Waiver *

As yoga requires physical practice I am fully aware of the risk of injury involved. I assume full responsibility for any risks, injuries or damages which I might incur as a result of participation. I waive any claim against Jonas Westring, Shantaya Yoga School and its staff members, for any injury or damages that I may sustain.

I agree.

Registration Deposit *

I will pay a non-refundable 300 USD deposit (100 hour) / 200 USD (50 hour). Payment details will be emailed once the application is approved.

I agree.

Cancellation Policy: Minus registration deposit. *

1) Before July 1st: Full refund. 2) July 1-31: 50% Refund. 3) From Aug 1st no Refund.

I agree.

Connection

How did you hear about us?

Thanks for completing this application - we look forward to your participation!

Jonas Westring & Team Shantaya

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