Name
Address
Phone
Cell Phone
Email
Emergency Contact Name
Emergency Contact Phone
Date of Birth
19
Do you have any special dietary needs?
City
State
Zip Code
After you complete payment on the next page, you will receive confirmation of your reservation by email along with pertinent information and directions to the retreat center. If you have any questions, please email shanti@yogalifesociety.com
If you prefer to register/pay by mail, please click here to download the registration form and mail it with a check made out to:
Yoga Life Society
c/o Madhuri Kathy DeJesus
30 Hillside Avenue
Riverdale, NJ 07457
Checks are payable to: Yoga Life Society.
Registration Deadline: 1 September, 2011
Retreat Cost:
$375
Early Bird Discount Available:
*Save $50*
Register before 1 August: $325
There are no refunds after September 1st. Any refunds given before that date will have a $35.00 administration fee deducted
After you submit your information you will be directed to a page where you can make payments in order to complete your registration.
Unexpected Beauty:
The Hidden Value of Change and Transition
A Weekend Retreat
23 September – 25 September, 2011
