First Name *
Your answer
Last Name *
Your answer
Address *
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Male / Female *
Email *
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Telephone number (with country code) *
Your answer
Date of birth *
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? *
Your answer
Do you practise on your own or, with a KPJAYI Certified / Authorised teacher? *
Your answer
Who is your regular Ashtanga teacher? *
Your answer
Please write down any other relevant information regarding your asana practice, or your stay at NIRVRTA *
Your answer
Do you have any specific dietary restrictions, or allergies? If so 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'. 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? *
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How did you hear about us? *
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Please select the retreats that you are interested in
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).

Short-stay guests are welcome, provided that we have spaces available and they have an established Ashtanga practice. A non-refundable deposit is required at the time of booking and the balance paid in cash, on arrival.

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.

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 may 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.

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, traveling 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 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.

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