Shala Yoga & Meditation Retreat Scholarship Application Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

First and Last Name *

Email Address *

Address *

How are you affiliated with Shala and/or Jarret and Mira? *

Current Shala Yoga Student

Current Shala Meditation Student

Past Shala Student

Other:

Required

How long have you studied with Jarret and Mira? *

Do you plan to attend the whole retreat program? Please describe your ability to commit to and participate in the retreat.

Have you been on retreat with us before? *

Yes

Scholarships are partial and will cover 15-25% of the retreat fees. If scholarship funds are awarded, please note you will placed in the Bumble Bunkhouse. Please honestly assess and indicate if you will only be able to attend with a certain level of financial support. Please explain below.
*

Please share a bit about yourself, your practice and your interest in the retreat. (Scholarship funds are limited and will be allocated to folks who both have need, and also demonstrate sincere commitment to the practices.)

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Forms