BRAZIL TOUR AND RETREAT 2020
Email address *
First Name *
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Last Name *
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Name EXACTLY how you want it to appear on Certificate/Credit Hours (whichever applies) *
We will copy and paste from here, so please write caps and lower cases the way you want it to show up on credit hours.
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Birth Date *
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Occupation *
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Hatha Yoga Level *
Mailing Address *
Please include: Full address, city & zip
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Phone *
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Emergency contact *
Please fill in name & number of contact
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Have you attended a Yoga for the Special Child program before? *
If you have attended, please state where & when
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What I want to participate in Brazil *
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I would like to sign up for transportation from/to the Airport in Confins (CNF) (ride is anywhere from 45min to 1:30h depending on traffic) *
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Please be aware: you should not schedule a flight leaving on August 15th before 4pm. If you can't find a flight, we recommend you to book it on August 16th and make reservations to stay at Linx Hotel, which is very close to the airport and has a shuttle every 15 min going there. https://www.linxhotels.co/linx-confins (you can also book through hotels.com). The name of the airport you will be flying to/from is CONFINS (CNF) *
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Accommodation information
We will be sending you links to hotel accommodations in Belo Horizonte and Prana Lorien. You will be making the reservations yourselves. We have negotiated discounted rates. eSuites Sion Savassi is the name of the hotel we will be staying in Belo Horizonte.
The yoga workshop experience can be a time of deep emotional connection for some people. Though this process is healing, it can also be stressful. If you have any history of mental illness i.e. depression, anxiety, schizophrenia, bipolar disorder, posttraumatic stress disorder or any form of psychosis, it would be very helpful for your teacher to know in order to be sensitive to your needs. If you are taking medications or have been hospitalized for any of these conditions please describe below.
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Please list any prescription medications
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Terms and Conditions
1. To confirm your reservation, please make full non-refundable payment ($430 until November 22, 2019; $480 until December 22, 2019; $530 after December 22, 2019) . Payment in full must be received 30 days prior to program start date. Please email your name to renata@specialyoga.com if you want a paypal invoice or mail your check to Yoga for the Special Child 232 Hidden Bay Dr #503 Osprey Fl 34229

2. All payments made are non-refundable, unless the program is canceled by Yoga For The Special Child (YSC), in which event you will receive a full refund. However YSC shall not be responsible for refunding airline tickets or hotels under any circumstances. Please make sure to call Renata 941-320-9290 to confirm the program is a go before making any travel arrangements.

3. By signing below, I, the registrant, agree to these terms and conditions.
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