Refresh Your Training or Retreat With Us – Registration Form Student Details Tell us about yourselfStudent Name* First Last Email* We will be contacting you by email to join a closed Facebook group so you can meet other students in your program.Phone*Birthdate MM slash DD slash YYYY Address* Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Where did you hear about the SOYA Refresh or Retreat Program?* Please be specific here. If a SOYA teacher referred you to the program, please give us their name. If you found us through google search, Yoga Directory Canada, or another online website, please indicate the source. Thank you.Do you have any experience teaching yoga?* Yes No Will you be joining us to Refresh your training or to Retreat with us?* Refresh my training Retreat with you Did you take your 200 hour or 300 hour training from SOYA? If not, which yoga school did you take your training with? Please share with us what has inspired you to join a training.Which level of training would you like to attend?* 200 hour Foundational 300 hour Upgrade Please tell us WHERE you would like to attend. Please choose the number of days that you will be joining us.* 1 to 8 days at $160.00 per day 9 to 12 days at $145.00 per day 13 to 18 days at $125.00 per day 19 to 24 days at $2,255.00 total Please tell us the dates that you would like to attend.* WHERE TO STAY: Please contact SOYA or the teacher at your location of choice if you require assistance with accommodation.Tuition fees below INCLUDE the manual, textbooks, and supplies for the program you are attending. Payment Details 1 to 8 days Quantity Price: $ 160.00 CAD Quantity 9 to 12 days Quantity Price: $ 145.00 CAD Quantity 13 to 18 days Quantity Price: $ 125.00 CAD Quantity 19 to 24 days Quantity Price: $ 2,255.00 CAD Quantity Only paying the deposit of $682.50 today? ($650.00 + $32.50 GST) Yes No DO NOT fill out the quantity field but rather indicate the number of days in the box below. Do you require a payment plan?* Yes No thank you. Please charge my credit card OR I will etransfer any remaining fees 35 days prior to the start of the training. Payments are processed on the 1st and 15th of each month. Credit cards only accepted for payment arrangements.Please outline the dates and amounts for your payment plan below.* Only credit cards are accepted for payments plans. E-transfer is no longer available.Total $ 0.00 CAD Method of payment* Credit card E-Transfer If you wish to pay by e-transfer, please email elaine.soyayoga@gmail.com with your payment.Credit CardCard Details Cardholder Name Waiver and Cancellation PolicyYour personal data will be used to process your order, support your experience throughout this website, and for other purposes described in our Privacy Policy*.* I have read and agree to the website Waiver & Cancellation Policy* Your personal data will be used to process your order, support your experience throughout this website, and for other purposes described in our Privacy Policy*.Section BreakEmailThis field is for validation purposes and should be left unchanged.
