Illuminate - Registration
Event Timing: November 8-10, 2019
Event Address: TaoSatva, #2 Upper Las Colonias, El Prado, NM
Contact us at (575) 737-8005 or
What 5Rhythms or other conscious dance practice do you have? Please include the names of the teachers you have worked with.
What other forms of meditation, movement or art practice do you have?
Who is your emergency contact? Please include name, phone number, and physical address.
Please acknowledge the following workshop agreements:
I understand that I must attend all workshop modules.
I agree to be on time for each session.
For the strength and safety of the container, I agree to maintain confidentiality about other people's experiences.
For the strength and safety of all participants, I agree to allow others thier own process and I won't interfere.
Agreement of Release and Waiver of Liability That I am participating in this workshop offered by Mystery in Motion & Visudha de los Santos during which I will move my body, and receive instruction and guidance about movement as meditative practice. I recognize that dance movement requires physical exertion, which may be strenuous and may cause physical injury, and I am fully aware of the risks and hazards involved. I represent and fully warrant that I am physically fit and I have not medical conditions that would prevent my participation in classes and workshops. I further hold Mystery in Motion & Visudha de los Santos harmless from any indemnity. By checking the box below I agree to this release and waiver of liability.
Yes I agree.
I understand that I will go to
to pay my fee electronically ($195 Standard, 0r $165 early by October 20th.) , or mail payment to PO Box 2686, Taos, NM 87571
Yes, I will pay electronically through Paypal to
Yes, I will mail my payment
I wish to make other arrangements
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service