REGISTRATION FORM

Kovalam (India)
from 11 December 2011 to 3 february 2012



Please complete this form and use one form for each person.
                
                
Name:        
Surname:     
E-mail:      
Address:     
City:        
Zip Code:    
Country:     
Phone:       


Weekly Rate:
From Day: Month: To Day: Month:
Level of practice:
Minimum attendance is 1 week.

Payment should be done by bank transfer. The details will be given when the registration form has been submitted. Please note that the deposit is non-refundable.
Tuition fees do not include accommodation.


AGREEMENT

I agree to the conditions of non-refundable deposit, and I understand that I will not receive refunds for the days absent from the class.
I willingly participate in the yoga workshop at my own risk.