REGISTRATION FORM: Seek the Sun 2019 Winter Yoga Retreat w/ Linda Meacci (Jan 19-26, 2019)
WHEN YOU HAVE COMPLETED THE registration form in its entirety and applied your e-signature in Section 8, you may print a copy for your records by following the instructions at the bottom of the form. . . . . When you are ready to submit the form, click the "SUBMIT" button at the bottom of the form.
* NOTE: Fields marked with an asterisk (*) are required.
Section 1: Participant Contact Information
Section 2: Emergency Contact Information
Section 3: Yoga Experience and Injuries
Briefly describe your yoga experience, including your level, how long you have been practicing, the primary style(s) of yoga you practice, and the frequency of your current practice (i.e., how many times per week or per month).
Briefly describe any injuries or concerns you may have relative to practicing yoga. **NOTE: Please review/update this information in person with the instructor at the start of the retreat.
Section 4: Lodging Preference
Section 5: Special Dietary Needs
Section 6: Required Payment(s)
If paying by check:
Please make all checks payable to "LINDA MEACCI YOGA" and mail to . . . . . Linda Meacci Yoga, 646 Maryland Ave, Pittsburgh, PA 15232 USA . . . . . [NOTE: You will also receive an email with payment and mailing instructions.]
If paying by Credit Card (via PayPal):
You will receive an email containing a PayPal invoice within 2 business days. You can then pay the invoice via PayPal's secure online payment processing system.
Section 7: Terms and Conditions
Note: You must click the "I have read and agree" box and enter your initials in the space provided after each paragraph.
CANCELLATION POLICY: If you wish to cancel your registration, you must notify Linda Meacci Yoga Instruction BY EMAIL at email@example.com. If you cancel ON OR BEFORE November 15, 2018, your payment(s) will be refunded, except for the Nonrefundable Deposit. If you cancel AFTER November 15, 2018, your payment(s) will be refunded, except for the Nonrefundable Deposit, ONLY IF your spot can be filled from a wait list. NOTE -- Linda Meacci and Linda Meacci Yoga Instruction cannot be held responsible for weather, travel issues, or other circumstances beyond their control. When you book your airline ticket, you may want to consider purchasing trip cancellation insurance. *
WAIVER OF LIABILITY: You, the participant, assume all responsibility of risk, injury, and personal discomfort by registering for this retreat. It is your responsibility to inform the instructor immediately before, during, and/or after any yoga session or other activity of any pain, discomfort, and/or existing medical situations. With your signature, you release all instructors and facilitators participating in this retreat from any and all liabilities that result from your participation in any activities, classes, or lessons associated with this retreat. *
Section 8: PARTICIPANT SIGNATURE
If you would like to print a copy of your completed form for your records, press the keystroke combination "CTRL-P" (press "CTRL" and "P" simultaneously) to bring up your computer's print menu. . . . . Or, right-click with your mouse and select "Print" or "Print preview" in the pop-up box. . . . . When you are ready to submit your registration form, click the "SUBMIT" button below.
NOTE: Once you click "SUBMIT," you will no longer be able to print your form.
THANK YOU. YOUR REGISTRATION FORM HAS BEEN SUBMITTED. . . . . You will receive an email confirmation of your registration within 1 business day. . . . . THANK YOU!