Registration for Upcoming Independent Isha Hatha Yoga Class

Participant Full Name *

First

Last

Participant Email *

Participant's Phone *

Age *

Gender *

Male
Female
Other

Address

Address Line 1

Address Line 2

City

State

Zip Code

How did you hear about us ? *

Which workshop are you registering to attend? *

Have you attended any Isha Foundation program or workshops by Isha Hatha Yoga Teacher *

Yes
No

Which date do you plan to attend the workshop ? *

Please enter the date or the month of the program when it is being offered (https://yoganebula.com/hatha/isha-hatha-yoga-nyc-nj/) .
Incase you don't know then you can leave this blank.

Select the location of the workshop *

Hillsborough, NJ
New York City
Other

This should be location that you see in the workshop being offered.

Emergency Contact

Name *

First

Last

Email *

Phone *

Address

Address Line 1

Address Line 2

City

State

Zip Code

Emergency Contact Relationship *

Medical

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

Yes
No

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. *

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

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:

Payment Related

For workshops happening in Hillsborough, NJ, we follow a pay-what-you-wish (PAYW) model with no fixed fee. You can contribute an amount of your choice to attend the workshop. This approach allows individuals facing financial difficulties or students to access health and wellness opportunities without money being a deterrent. We encourage you to take advantage of this model and prioritize your well-being through our workshops.

I understand what Pay-As-You-Wish means & if I leave the workshop in the middle of the sessions or cancel within 72-hours of the workshop, I would be liable for full workshop fee as mentioned below.

ANGAMARDHANA: $500
SURYA KRIYA : $400
BHUTA SHUDDHI : $300
SURYA SHAKTI : $250
YOGASANAS : $700.00
REVIEW/REFRESHER: $100.00
GROUP PRACTICE: $75.00
FULL RETAKE: $200.00

I understand my commitment as stated above & agree to pay the needed fee if I cancel without giving sufficient notice as mentioned above. *

I agree & commit to attend the workshop in its entirety

I will plan to arrive few minutes early & I understand latecomers would not get entry into the workshop & will be liable for full fee per above *

I agree & will plan to arrive few minutes early else I will pay the full fee per above

Payment *

I will pay full workshop fee in cash or Zelle
Due to my financial circumstances, I am unable to cover the complete cost of the workshop fee and would like to take advantage of the Pay What You Want option.
I will pay full workshop fee online

You can either Zelle the payment at contact@yoganebula.com or can use the link under https://yoganebula.com/hatha/payw/ to pay.

Waivers

Permission to Yoga Nebula to photograph, film, tape or record me as a participant in this Yoga Class. *

Yes
No

Yoga Nebula may choose to photograph, film, tape or record my participation for publicity, documentation, or ticket sales purposes, and that by signing this Photo Release form I grant them full permission and waive all copyright and future considerations.

I confirm that I have thoroughly read the advisory during COVID-19 as written on Centers for Disease Control & Prevention *

I have taken or will follow all necessary advisory before attending the workshop
I decline & I will not be attending the workshop.

Yoga Student Waiver Agreement

I understand that yoga includes physical movements as well as an opportunity for relaxation, stress re- education and relief of muscular tension. *

Yes, I agree and would be attending the workshop
No, I would not be attending the workshop

As is the case with any physical activity, the risk of injury, even serious or disabling, is always present and cannot be entirely eliminated *

Yes, I agree and would be attending the workshop
No, I would not be attending the workshop

If I experience any pain or discomfort, I will listen to my body, adjust the posture and ask for support from the teacher.I will continue to breathe normally *

Yes, I agree and would be attending the workshop
No, I would not be attending the workshop

Yoga is not a substitute for medical attention, examination, diagnosis or treatment. Yoga is not recommended and is not safe under certain medical conditions *

Yes, I agree and would be attending the workshop
No, I would not be attending the workshop

I affirm that I alone am responsible to decide whether to practice yoga. *

Yes, I agree and would be attending the workshop
No, I would not be attending the workshop

I hereby agree to irrevocably release and waive any claims that I have now or hereafter may have against YogaNebula or Samir Lal or Isha Foundation and its nationally registered yoga teachers *

Yes, I agree and would be attending the workshop
No, I would not be attending the workshop

Terms & Conditions, Privacy Policy

Thank you for your interest in YogaNebula. By registering for any/all programs with YogaNebula, you are acknowledging that you have read, understood and you agree without limitation or qualification, to be bound by these Terms and Conditions in this Agreement, so please read this carefully before proceeding to register.
YogaNebula provides services and content available on this website to you subject to the following Terms and Conditions, Privacy Policy, Payment Policy and other terms and conditions and policies which you may find on our website in connection with certain functionality, features or promotions, all of which are deemed a part of and included within these terms and conditions (collectively, “Terms and Conditions”). This web site is operated by YogaNebula. Throughout the web site, the terms “we”, “us” and “our” refer to with YogaNebula. YogaNebula offers this web site, as well as all data, tools and services offered from this web site to you, the user, conditioned upon your acceptance of all terms, conditions, policies and notices expressed here.
The term ‘YogaNebula’ shall include the organizers, teachers, advisors, demonstration assistants, affiliates, organizers and persons related to YogaNebula. “Services” shall mean Yoga programs, workshops, and classes. “Participant” shall mean a person, 18 years and above of age, who has successfully registered for a program offered by YogaNebula through the website https://www.YogaNebula.com/, or any person below the age of 18 years for a program offered by YogaNebula through our website, provided the registration of such person below the age of 18 years is done by the legal guardian of the said person and additionally a consent form has been duly filled and signed by the legal guardian of the said person. “Program” shall mean classes, workshops, sessions for yoga. “Personal information” shall mean the age, residential address, email address and telephone/ mobile number of a participant as filled in the online registration, completion and contact form. “Person” shall mean an individual human being only and shall not include a proprietorship, corporate, partnership or the like. “You”, “Your”, “their” refer to participant or the person buying the services.
PRIVACY POLICY
1) Your information: When you contact us or register for and complete any Hatha Yoga program or workshop or other sessions on our website, we collect the personal information you give us such as your name, mobile number, address and email address.
YogaNebula does not transfer, sell, distribute or share personal information filled in the registration form by the participant with a third party. When you browse our website, we also automatically receive your computer’s internet protocol (IP) address in order to provide us with information that helps us learn about your browser and operating system.
We may send you messages and/or emails and/or communication through online and/or offline communication mediums about our upcoming programs and sessions, newsletters, marketing promotions, marketing material and other updates. You have the choice to opt out or unsubscribe.
2) Disclosure: We may disclose your personal information if we are required by law to do so or if you violate our Terms of Service. We do not share this information with third parties for any commercial reasons.
3) Payment information:
YogaNebula does not collect, store, transfer, share or use your personal, Credit Card or Debit Card or any of your banking information filled by you for the purpose of payment of program fees as it is directly transmitted through the third-party payment gateway provider to the payment network or bank.
In general, the third-party providers used by us only collect, use and disclose your information to the extent necessary to allow them to perform the services they provide to us. However, certain third-party service providers, such as payment gateways and other payment transaction processors, have their own privacy policies in respect to the information we are required to provide to them for your purchase-related transactions. For these providers, we recommend that you read their terms and privacy policies to understand the manner in which your information will be used or handled by these providers. Once you leave YogaNebula’s website or are redirected to a third-party website or application, you are no longer governed by YogaNebula’s Privacy Policy or our website’s Terms of Service.
4) Age of consent: You represent and warrant that you are at least eighteen (18) years of age and that you possess the legal right and ability to use our services in accordance with the terms of YogaNebula. If you are under the age of eighteen (18), you may use this website only with the consent of your legal guardian.
5) Changes to this privacy policy: YogaNebula reserves the right to modify this privacy policy, terms, and conditions at any time, so please review it frequently. These policies are subject to change at any time without notice. Please read them carefully.
TERMS AND CONDITIONS

1) Registration: Participant must register for the program on our website after checking for spot availability with YogaNebula. Participation in a program would be confirmed only by completing online registration for the said program via https://www.YogaNebula.com/. YogaNebula shall not entertain or be responsible for any registration which is not made through our website.
Registration shall be deemed to be complete only when the registration form has been filled entirely and payment of the fees for the program has been made by the participant (participant’s legal guardian in the case participant is below the age of 18 years) and received by YogaNebula. Registration for participant below the age of 18 years shall be deemed to be complete only when apart from the filling of registration form and payment of fees for the program, additionally a consent form has been filled and submitted by the legal guardian of such participant.
A person must be at least 18 years of age before registering for the programs offered by YogaNebula. A person below the age of 18 years must be registered by his/her legal guardian only and such legal guardian must additionally fill and submit a consent form for the participation of the person below the age of 18 years.
Participant must disclose their health/medical conditions or any ailment(s) that may impact their participation in the program(s) they are registering for, prior to registering for such program(s). In case of any health and/or medical condition, the participant must have consent from their doctor to participate in such program(s). YogaNebula is not obliged to or responsible for conducting any medical examination for the participant prior to the registration.
Any negligence on the part of the participant while registering such as not checking for spot availability, program(s) selection, missing information, submitting the incorrect information required for the purposes of registration and participation in the program(s) that is found as negligence will be their responsibility. YogaNebula will not be responsible for such negligence nor shall entertain any request for refund or program transfer except as per our refund and cancellation policies.
Program registration of a participant is not transferable to any other program, participant or person, program location or to future programs. There will be no adjustment of program fees to any other program offered by YogaNebula.
Participant must bring a valid Government approved Photo ID card (like passport, driving license). Entry will not be allowed without a valid Government approved id and the program will stand cancelled for the participant in the absence of valid proof of identity.
YogaNebula reserves the right to accept, deny, revoke or terminate the registration of any participant at any time without prior notice.
YogaNebula reserves the right to entry and admission. It is not YogaNebula’s responsibility to cross verify the participant’s personal information, medical conditions, health conditions or any other information that may directly or indirectly impact their registration and participation in the program. However, if YogaNebula comes to know that the information submitted is false, YogaNebula is entitled to cancel the registration.
A participant’s registration can be unilaterally cancelled, and they may be asked to leave the program even after the confirmation of registration in cases of non-adherence to guidelines and/or misconduct.
A discontinuance/cancellation of the program on the aforementioned grounds shall not entitle the participant to any full or partial refund.
2) Mandatory Attendance: It is mandatory to be present at the venue at the reporting time of the program registered for by the participant on all days of the program duration as communicated to the participant via confirmation email sent post completion of registration.
Program will begin at the designated time and late entry is not permitted in any case. Failing to report at the reporting time on any day of the program registered for shall lead to cancellation of the registration of the participant for that program by YogaNebula and that participant shall not be allowed to participate on that day and in the remaining days of the program. For such cancellation of registration of the participant, YogaNebula shall not be liable to refund the program fees to the participant either partially or fully.
Missing any session(s) due to complete or partial absence or a late arrival on any of the days of the program shall imply a discontinuance of the program for that participant.
It is mandatory to attend all the sessions from the start time to the end time as per the designated schedule.
A discontinuance by a participant on the aforementioned grounds shall not entitle the participant to any full or partial refund.
If, due to unavoidable circumstances, there is a delay in starting the program, the same shall not entitle the participant to any compensation. YogaNebula will endeavour to extend the duration of the program for the time lost. However, it is at the sole discretion of YogaNebula to make such an extension.
The gates of the venue open 45 minutes before the start of the session and participants are welcome to report early.
3) Refund Policy: The registration fee is non-refundable except as provided herein under: A refund of 5% shall be applicable if cancellation email is received between 1 to 7 days prior to the start of the program, or a refund of 10% shall be applicable for cancellation email received more than 7 days prior to the start of the program, whichever is applicable. The applicable taxes and payment processing fee (as charged by the third-party provider) shall be deducted from the refund amount as a non-refundable expense.
No refund shall be applicable if cancellation email is received on the day of the program, irrespective of the time of the start of the program(s).
There will be no refund, transfer or adjustment of the fee in cases of cancellation/termination of a participant’s participation due to (i) delay in arrival at the venue after the designated time of the program; (ii) no-show or absence on the day of the program; (iii) non-attendance or discontinuance of any session of the program; (iv) non-adherence of guidelines and/or misconduct In no circumstance is a participant entitled to 100% refund for cancellation initiated by the participant himself/herself.
The processing of refund may take a period of 4 weeks (including business days only; that means any other day other than a Saturday, Sunday or bank holiday or national holiday). The participant agrees not to raise any claim on YogaNebula for the delay in the processing of the refund.
Program registration is not transferable to any other participant, other program location, other program(s) offering (any other hatha yoga practice of different nature), or future programs. There will be no adjustment of the program fee for any other program.
If the program is cancelled by YogaNebula due to unavoidable circumstances, the participant will be entitled to a full refund of the fee within 4 weeks from the intimation of such a cancellation. The participant agrees not to raise any claim on YogaNebula for the delay in the processing of the refund.
4) Cancellation and Termination of Registration If a participant is unable to attend the program due to any reason, he/she must request for the cancellation of their registration by informing us through email at contact@yoganebula.com
The request for such cancellation of registration, if any, will be considered valid only when communicated/informed over email at the email id provided above. Any such request made over call, text message to our phone lines will not be considered valid.
In no circumstance is a participant entitled to 100% refund for cancellation of their registration initiated by the participant himself/herself.
For any cancellation of registration initiated by the participant, YogaNebula’s refund policies shall apply. YogaNebula shall have the right to cancel or terminate a registration of a participant for any or all of the programs in the following circumstances:
YogaNebula shall not be responsible to verify the information filled in the registration form by the participant.
However, at any point of time if it is found that the information provided by the participant in the registration form is false or incorrect, YogaNebula shall be entitled to cancel or terminate the registration with immediate effect and shall not be liable to refund the program fees to the participant either fully or partially.
A participant’s registration can be unilaterally cancelled or terminated, and they may be asked to leave the program even after the confirmation of registration in cases of non-adherence to guidelines. The registration of a participant shall be liable to be terminated on the ground of Misconduct.
YogaNebula shall not be liable to refund program fees to the participant either partially or fully due to termination of registration on the above-mentioned grounds.
5) Participation guidelines- Pre-program: On the day of the sessions: Please be in an empty stomach condition. That is: after a full meal, please keep a gap of 4 hours before starting the practices. After a light snack (fruits, light snacking) please keep a gap of 2.5 hours. In case you have a beverage (tea, juice, coffee etc.), please keep a gap of 1.5 hours, after alcohol a gap of 8 hours and after smoking a gap of 1.5 hours. Nothing after that except water. Empty/light bladder supports the practices well.
Please wear loose and secured clothing to be able to do range of posture movements.
Please carry your prescription eyeglasses to the sessions to be able to watch certain videos that will be played during the program, in case you need them.
Please bring your own anti-slip yoga mat.
6) Participation guidelines-During the program:
Registered participants must ensure their attendance throughout the sessions from start time to end time. Only the participants that have registered for the workshop and will be undergoing the program are allowed inside the program at the venue. Attendants, relatives, children, and servants of the participants are not allowed inside.
Any other party, individual or group are not allowed attendance unless required for workshop-support reasons. Please feel free to reach out in case of any query or support.
Registered participants must adhere to the pre-workshop guidelines stated under point 5. section “Participation guidelines- Pre-program”
The medium of instruction will be English unless otherwise specified for any program(s). 7) Program Completion: YogaNebula offers programs only for the purpose of learning by the participant. On completion of any program with us, we send you a completion form link that you are required to fill within given timelines.
By completing any program(s) with YogaNebula you understand that the program is only for your personal learning and will not enable you to teach the practices learned to any other person.
You undertake that you shall not teach, communicate or share the contents of the program, either directly or indirectly to anyone else.
You shall not transmit, share and forward the content shared with you during the program(s).
YogaNebula will be able to produce your records for the completion of any program(s) only on the basis of records we hold for your completion. For this, it is necessary that you submit the necessary documents that we request you to fill after the program is concluded. In the absence of records of your program completion due to non-submission of the documents to us, we will not be able to validate that you completed the program fully with us. In such a case, you cannot claim to have completed any program with us even though you may have registered for the same.
8) Parking and responsibility of personal belongings: At the program venue, you are requested to park your vehicle solely at your own risk and discretion by visiting early and finding a parking spot.
You are requested to park your vehicle only in public parking per the norms of the Venue and not in front of any residential house, to avoid issues.
YogaNebula shall not be responsible for safety or parking of the vehicles or any other aspect related to it.
YogaNebula will not be responsible for any damage to and/or any theft of any participant’s vehicle from the program venue during the duration of the program Participant shall be responsible for taking care of their personal belongings at the venue.

GENERAL AND MEDICAL CONDITIONS

Though the programs offered by YogaNebula are primarily for the benefit of the participant’s health, in rare circumstances if a medical condition arises post the administration of a YogaNebula program, YogaNebula shall not be responsible for the same and shall not be liable to compensate the participant for the medical condition or loss incurred.
YogaNebula is not responsible for ensuring the health benefits that a participant expects to gain from the YogaNebula programs.
The programs offered by YogaNebula are not substitutes for medical care and offer no guarantees of any kind. The information on the website (or as otherwise provided by us) is in no way intended to diagnose, cure, or treat any medical or other condition. Please seek the advice of your physician or other qualified health providers prior to starting any yoga program or making changes to your diet. In no case shall YogaNebula, its employees, affiliates, organizers or persons related to YogaNebula be responsible or liable for any injury, medical condition, loss, claim, or any direct, indirect, incidental, punitive, special, or consequential damages of any kind, arising from the use of our services.
YogaNebula is not obliged to or responsible for conducting any medical examination for the participant prior to the registration.
There is no prior experience of Yoga required to begin Classical Hatha Yoga.

OTHER TERMS
The participant agrees to indemnify YogaNebula, its organizers, its affiliates or any person related to
YogaNebula against all claims and suits that may be raised against them by any third party due to any breach and/or default and/or any other act or omission on participant’s account.
The participant willingly undertakes to attend this program completely. The participant confirms that they understand the nature of the program. The participant takes full responsibility for the results of the program and undertakes not to raise any claims against YogaNebula, its organizers, its affiliates or any person related to
YogaNebula with respect to the results. The content provided on this site is for general information only and should not be used as the sole basis for making decisions. Any dependence on the content on this site is at your own discretion. We reserve the right to modify the contents of this website at any time but have no obligation to update it.

MISCONDUCT

Any of all of the following acts committed by a participant shall be considered as a misconduct: Creating nuisance and disturbance while the session of a program has started.
Misbehaving with fellow participants and/or the teachers/ demonstration assistants present at the venue thereby causing nuisance, disturbance and/or damage to property and person.
Distributing materials provided by YogaNebula, commercially, to third party without the consent of YogaNebula.
Violating the participation guidelines during the session of a program
If any provision of these Terms is found to be unenforceable or invalid under any applicable law, such unenforceability or invalidity shall not render these Terms unenforceable or invalid as a whole, and such provisions shall be deleted without affecting the remaining provisions herein. These Terms will be governed by and construed in accordance with the laws of State of New York, and any dispute arising under these terms shall be subject to the exclusive jurisdiction of the courts of New York.

I agree to YogaNebula's Terms & Conditions, Privacy Policy mentioned here on YogaNebula.com *

Yes, I agree
I don't agree and will not be attending the workshop