GUEST REGISTRATION FORM
ASHTANGA NIRVRTA HOMESTAY YOGA RETREAT
عنوان بلا عنوان
Full name *
Your answer
Address *
Your answer
Male / Female *
Required
Email *
Your answer
Telephone number (with country code) *
Your answer
Date of birth *
MM
/
DD
/
YYYY
Passport number *
Your answer
Country of issue *
Your answer
Where will you be travelling from? *
Your answer
Health background (please list all relevant health issues, injuries, things that we need to know about) *
Your answer
Do you have a regular daily Ashtanga practice? If so, who is your main KPJAYI Certified / Authorised teacher? *
Your answer
Which is the last posture that your regular KPJAYI Certified / Authorised teacher has taught you? *
Your answer
As well as morning Guided Self-Practice and weekly Counted Led Primary Series classes, we offer afternoon workshops that can focus on concepts of the method; technique / alignment / vinyasa counts; the art of reading bodies and adjusting asanas; basic yoga philosophy and history; simple chanting / pranayama / meditation. Please indicate specifically, what kind of workshops might be beneficial to you at this point in your Ashtanga yoga journey *
Your answer
Please write down any other relevant information regarding your stay at NIRVRTA
Your answer
If you have any specific dietary restrictions, or allergies please tell us
Your answer
We are a humble Ashtanga yoga homestay retreat in nature and take a maximum of eight practitioners on each retreat. Our aim is to encourage guests to immerse themselves in all Eight Limbs of Ashtanga yoga and to feel connected and receptive to their environment and the practice. We are not a 'yoga holiday resort' that offers lots of distractions and excursions, neither do we indulge needy guests. Having an open mind, good sense of humour, easy going attitude, awareness of other people and a team spirit, will allow guests to embrace the joy of NIRVRTA and the diversity and charm that is Incredible India. How does this philosophy resonate with you? *
Your answer
We need to ensure that we have receptive and joyful practitioners staying with us. Those who have truly connected with NIRVRTA's philosophy (ie practising the Eight Limbs of Ashtanga yoga in nature, with a small group of guests, away from urban distractions), have all been receptive, open-minded, positive, easy going, joyful, willing to muck-in as team players, have a great sense of humour and honour practising Ashtanga yoga in the method of Sri K Pattabhi Jois. Those who tend to be demanding, unreceptive, unwilling to learn or be team-players, who require a lot of attention and thrive on complaining and being negative, have found NIRVRTA challenging! How does this sit with you? *
Your answer
How did you hear about us? *
Your answer
Please select the retreats that you are interested in
2019
Our policy
Guest places can be reserved by paying a non-refundable deposit, (for the amount agreed with NIRVRTA), at the time of booking.

The balance should be paid no later than 8 weeks before the arrival date (otherwise your place may be given to another guest).

Deposits are non-refundable.
Cancellation policy:
Over 2 months before retreat start date: 100% (minus deposit)
2 months or fewer before retreat start date: no refund

If using PayPal, fees incurred are payable by the guest. Bank charges are also payable by the guest.

Retreat arrival dates are Saturdays (afternoon). Classes are from Sundays to Fridays. Departure dates are Fridays (noon).

If you ask us to book an airport pick-up or drop car, you are requested to take the car that is allocated for you and will need to pay the driver directly. You will be charged for the car that has been booked for you, even if you do not use it.

Guests are advised to have an awareness of Indian culture and customs and to dress appropriately when on temple visits, trips and sight-seeing. Modest clothes (that cover the body, legs and shoulders) are recommended. Please carry small change to pay for entrance fees to places of interest and anything that you may wish to buy. Transport for excursions and food outside NIRVRTA, is payable by the guests.

Please bring any medication that you may require and obtain the correct visa, travel documents and travel insurance for India.

NIRVRTA accepts no liability for loss, damage, injury, accident or illness, which may occur whilst staying with, travelling to, or from us. All guests are strongly advised to have their own travel insurance to cover any loss, injury, mishap, medical emergencies, or repatriation.

Your consent
I have given all the correct and appropriate information about myself, medical history, injuries, health issues and allergies and am carrying all the medication that I might need.

I have given the correct information about my Ashtanga yoga experience and practice.

I will be sensitive to other retreat guests and mindful towards Indian customs and culture (including when on trips that NIRVRTA organises for guests). I will be kind, joyful and act in the spirit of yoga to the best of my ability.

I take full responsibility for myself and my belongings and will act respectfully and responsibly whilst at NIRVRTA.

I agree not to remove or damage items from the house, cottage or elsewhere at NIRVRTA and accept the terms described in this Guest Registration Form.

By submitting this form, I consent to the above.

Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service