Yoga & Meditation Retreats Registration

Retreat Registration

Program Related

First Name *

Last Name

Email *

Phone *

WhatsApp number if available

Age *

Gender *

FemaleMale

For WOMEN : Are you currently pregnant? *

YesNo

Address

Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry

What do you want to derive out of this retreat ? *

Isha Related

Attended any Isha Programs in past ?

YesNo

Incase you selected Yes above, please enter the name of the program & teacher who taught you.

Medical

Have you had any major surgery in the last six months? *

YesNo

Incase you are retaking our retreat, please provide the month, year & teacher name who taught you.

Do you have or have you had any mental ailments including depression or anxiety? If yes, provide details.* *

Do you have or have you had any physical ailments? If yes, provide details.*

Please indicate below if you currently or previously have had any physical or mental ailments. *

For Ex. Hernia, Neck or Back disease, Dislocations, Joint replacements, Injury, Depression, Anxiety etc. Please give details of the nature and duration of the condition and if you are currently undergoing any treatment:

Emergency Contact

Full Name

Phone

Misc Info

Flights (to/from SJO) *

Yes, I understand that I have to pay for return flight ticketsI am local and will plan my arrival to retreat center on my own

Airport Pickup / Drop off from SJO *

Pick-up/drop-off by Van from SJO to the retreat center is included in the pricing.i need pickup / drop off from airporti only need pickup from airporti only need to be dropped off to airport & i will arrive on my own to the retreat centeri will be taking the flight instead to the retreat center and don't need a pick-up by Van from SJO

Medical Insurance *

participants would need carry their own medical needs/insurance & their health is there responsibility.i accepti decline

How did you hear about us ? *
Comments
Confirmation Confirmation I hereby willingly undertake to attend this program completely. I take full responsibility for the result and indemnify the organizers against all claims and suits. I will not communicate the contents of the program, either directly or indire
Full Name
Date

Retreat Registration

Retreat Registration

Program Related

Isha Related

Medical

Accommodation

Emergency Contact

Misc Info

Verification

Recent Posts

Recent Posts

About Us

The classes will be led by Hatha Yoga Teachers Trained at Isha Foundation, Coimbatore, India. They have gone through intense 1750 hours of teacher training while being at ashram for 21 weeks.

Isha Hatha Yoga Workshops