Endeavours

Name

Address

City

Province/State/County

Country

Phone  ( Include Country Code)

Postal Code

Email

URL http://

Birth Date

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Intensive / Retreat Deposit

2010 Healing Insights Yoga Intensive CARDIFF, Wales - April 5 to 10: £100.00 LONDON, UK - May 3 to 8 : £100.00 MARITIME, Canada - August 16 to 21 : $300.00(CAD) FUKUOKA, Japan - October 18 to 23 : $300.00(CAD) Pregnancy Yoga Intensive DUBLIN, Ireland - April 19 to 24 : $300.00(CAD) LONDON, UK - May 17 to 22 : £100.00 WINNIPEG, Canada - August 2 to 7 : $300.00(CAD) FUKUOKA, Japan - October 6 to 12 : $300.00(CAD) Develop a Personal Practice Retreat VANCOUVER, Canada - July 12 to 17 : $300.00(CAD) KERALA, India - Nov 22 to 28 : $300.00(CAD)

All Registration Closes One Month before Intensive or when full, whichever is first.

Intensive / Retreat Full Payment

2009 Yoga Pregnancy Intensive LONDON, UK - March 23 to 29 : £699.00 [before Feb 1] Yoga Pregnancy Intensive LONDON, UK - March 23 to 29 : £759.00 [after Feb 1] Yoga Healing Insights Intensive LONDON, UK - April 20 to 26 : £699.00 [before Feb 1] Yoga Healing Insights Intensive LONDON, UK - April 20 to 26 : £759.00 [after Feb 1] Develop a Personal Practice JAMAICA - May 4 to 10 : $1,450.00(CAD) [before July 1] Develop a Personal Practice JAMAICA - May 4 to 10 : $1,600.00(CAD) [after July 1] Yoga Healing Insights Intensive KERALA, INDIA - Nov 2 to 8 : $1,450.00(CAD) [before July 1] Yoga Healing Insights Intensive KERALA, INDIA - Nov 2 to 8 : $1,600.00(CAD) [after July 1] Develop a Personal Practice KERALA, INDIA - Nov 9 to 15 : $1,450.00(CAD) [before July 1] Develop a Personal Practice KERALA, INDIA - Nov 9 to 15 : $1,600.00(CAD) [after July 1] 2010 Yoga Pregnancy Intensive FUKUOKA, JAPAN - January 11 to 17 : ¥1,35,930.00 [before Sept 1] Yoga Pregnancy Intensive FUKUOKA, JAPAN - January 11 to 17 : ¥1,53,269.00 [after Sept 1] Develop a Personal Practice Retreat VANCOUVER, CANADA - Feb 15 to 21 : $1,200(CAD) [before Oct 1] Develop a Personal Practice Retreat VANCOUVER, CANADA - Feb 15 to 21 : $1,400(CAD) [after Oct 1] Yoga Pregnancy Intensive IRELAND - April 19 to 25 : £699.00 [before Feb 1] Yoga Pregnancy Intensive IRELAND - April 19 to 25 : £799.00 [after Feb 1] Yoga Pregnancy Intensive LONDON, UK - May 3 to 9 : £699.00 [before Feb 1] Yoga Pregnancy Intensive LONDON, UK - May 3 to 9 : £799.00 [after Feb 1] Yoga Healing Insights Retreat PORTUGAL - May 17 to 23 : £1,099.00 [before Feb 1] Yoga Healing Insights Retreat PORTUGAL - May 17 to 23 : £1,299.00 [after Feb 1] Yoga Healing Insights Intensive KERALA, INDIA - Nov 2 to 8 : $1,450.00(CAD) [before July 1] Yoga Healing Insights Intensive KERALA, INDIA - Nov 2 to 8 : $1,600.00(CAD) [after July 1] Develop a Personal Practice KERALA, INDIA - Nov 9 to 15 : $1,450.00(CAD) [before July 1] Develop a Personal Practice KERALA, INDIA - Nov 9 to 15 : $1,600.00(CAD) [after July 1]

All Registration is Closed One Month before Intensive, 2 months for Residential & Retreats or when full, whichever is first.

List Yoga Experiences, Knowledge, Mentors & Certificates: Any style, Limbs, Personal Practice, etc.
'Previous Experience &/or Training in Yoga or Holistic/Healing is necessary?

For Intensives Only - Yoga Instructors List your experience &/or certificates. Others please add your vocation, experience &/or certificates.
'Previous Experience &/or Training in Yoga or Holistic/Healing is Necessary'

Please list the physically/mental activities you practice (meditation, martial arts, etc)

Provide name and telephone number of Emergency Contacts

Please include a photo of yourself with your application. We appreciate for purely esthetical reasons a creative photo, though will accept a nice photo too.

Photograph          

We accept gif, jpeg, Bitmap or Tiff formats. Maximum file size 500K.

Where did you hear of Six Senses Yoga Society?

Payment Options

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Six Senses Yoga Society will contact you by telephone within a week of your registration application. Thank you for registering.

Please acknowledge you have read, understand the application & read through the training and all is true to the best of your knowledge. All information received in from this form is kept confidential! We will not share with anyone, for any reason except with your written permission.