Retreat Registration Form

Retreat Registration Form

general retreat registration form at camp Miriam. Form Preview
Clone of Hatha Yoga Pradipika & Harnessing Kundalini Retreat Registration Form
  • Hatha Yoga Pradipika & Harnessing Kundalini Retreat Registration Form

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  • If you are arriving late or leaving early, please specify the details.

  • Cancellation Policy

  • The Cancellation Policy is as follows:

    1 month prior to event: 100% refund
    2 weeks prior to event: 50% refund
    1 week prior to event: 10% refund

  • Karma Yoga

  • As in all Classical Yogic Lineages, karma yoga (selfless service deciated to the greater good) is an integral part of the practice of yoga. All retreat participants will have an opportunity to contribute 1-2 hours each day to karma yoga. Karma yoga will involve kitchen and house keeping duties. The intention of this is to encourage each participant the opportunity to contribute to the well-being of the whole group and to encourage a spirit of generosity, cooperation, and service.

    Karma Yoga is an expression from the heart.

    For the smooth functioning of the Retreat, participants will be assigned a karma yoga duty on the first day of the Retreat. Please speak with the organizers should there be any issues regarding karma yoga.

  • Camp Miriam Accommodations

  • Camp Miriam is a youth camp and accomodations are rustic. Austerities (stripping down our needs to the most minimum level) will allow participants to focus on the practice and not be distracted by externalities. Dorm rooms include bunk beds with mattresses (with plastic coverings) and concrete floors. Showers and bathrooms are shared. Private rooms are available at an additional cost for those who snore or have difficulty sleeping. 

    Alternatively, accomdations can be booked near the Retreat. Please contact the organizers for a list of recommended off-side accomodations.

  • Retreat Commitments

  • All retreat participants commit to no alcohol, no drugs, no profanity, no violence, and agree to contribute to an environment of respect for all.  All retreat participants agree to maintain mauna (noble silence) from the end of Kirtan to after breakfast each day. Retreat participants commit to a schedule that starts at 6am and ends at 8:30pm.

  • Sleeping at Camp Miriam

  • Retreatants that know that they snore are asked to book a private room or bring their own tent so that their snoring does not disturb the sleep of others.

  • Yoga Retreat Options

  •   HYP - Hatha Yoga Pradipika 3 day Retreat (Aug 26-29) HK - Harnessing Kundalini 3 day Retreat (Aug 29 - Sep 1) HYP & HK (both retreats) 6 day Retreat (Aug 29 - Sep 1)
    Commuter (for Gabriola Residents)
    Camping / Tent
    Dorm Room
    Shared Room (for couples or friends)
    Private Room
  • Waiver

  • As the student registering for Muktibodha Retreats Canada events, I acknowledge and agree with the following:

    1. WAIVER OF RIGHT TO SUE.

    • I waive any and all claims I may now and in the future have against, and release and forever discharge from all liability, and agree not to sue Muktibodha Retreats Canada and visiting teachers for any personal injury, death, property damage or loss (collectively, "Loss") sustained by me as a result of my participation in classes due to any cause whatsoever including without limitation, active or passive negligence, imprudence, lack of skill, error of judgement, breach of contract, or breach of statutory duty of care on the part of Muktibodha Retreats Canada and visiting teachers.
    • I am in sufficient physical condition to participate in the class and understand that yoga includes physical movements & the risk of injury, even serious or disabling, is always present and cannot be entirely eliminated.
    • Yoga is not a substitute for medical attention, examination, diagnosis or treatment.
    • Yoga is not recommended and is not safe under certain medical conditions.
    • I affirm that I alone am responsible to decide whether to practice yoga.

    I hereby agree to irrevocably release and waive any claims that I have now or hereafter may have against Muktibodha Retreats Canada  and visiting teachers.

    2. INDEMNITY: I agree to save harmless and indemnify Muktibodha Retreats Canada and visiting teachers from and against any and all liability

    for any Loss to any third party, resulting from my participation in Classes.

    3. READ AND UNDERSTOOD AND AGE OF MAJORITY: I have read and understood this Waiver and Release of Liability and Indemnity prior to signing it and agree that this instrument will be binding on my and my heirs, executors, administrators and assigns. I am the full age of 19 years.

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