Refresh Your Training or Retreat With Us – Registration Form Student InformationName* First Last Email* Phone*Birthdate mm/dd/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.Are you a 200+hour yoga teacher?* Yes No Just curious! Did you take your 200 hour or 300 hour training from SOYA? If not, which yoga school did you take your training with?Will you be joining us to Refresh your knowledge or are you here to rest on Retreat with us?* Refresh - I am a yoga teacher looking for studies to further my current knowledge. (SOYA will track hours and efforts for CEU credits). Retreat - I have come to rest and renew in yoga practices, enjoy community, join what interests me, and have the most flexibility in my days. (No need to track hours for CEU's). If you are intending to attend as a Refresh student, we will prepare a certificate of CEU hours for you. Please note that attendance of the entirety of a lesson topic is required for those hours to count. While not a requirement for participation, additional completed online lessonwork will be assigned as non-contact CEU hours. Please share with us what has inspired you to join a SOYA training as a Refresh or Retreat participant. Program Registration DetailsWhich level is the training that you would you like to attend?* 200 hour Foundational Studies 300 hour Professional Studies Our programs are either 200 hour or 300 hour programs. You can attend either at any time as a Retreat or to Refresh. You can attend the whole program or only a portion of it, based on your interest. Please tell us the LOCATION of the training you would like to attend.*Are you registering for the full program dates, or attending only part of the program?* Yes, I am registering for all of the dates of the program I have indicated above. No, I wish to only attend for a portion of the program. Please tell us the specific dates that you would like to attend.*If you are unsure at this time, please type "unsure" and we will contact you to follow up. Program NotesAccommodations WHERE TO STAY: See specific program details on the website. If SOYA is managing this, we will reach out after your registration is received. Accommodations, travel and meals are additional costs. Please contact SOYA or the teacher of your program of choice if you require assistance with accommodation arrangements. Tuition Fees Fees INCLUDE attendance of the program and the selections of the manual, textbooks, online lessons and supplies for the program content that is scheduled on the dates of your attendance. 1 to 8 days at $160.00 per day 9 to 12 days at $145.00 per day 13-18 days at $125 per day 19-24 days at $2,255 total. Payment DetailsPlease choose the option with the number of days you are joining for.*Full 200 hour program is 16 days in length, or 17 days in length in Mexico. Full 300 hour program is 24 days in length. (2 modules of 12 days). Dates of attendance in the program must be consecutive. 1 to 8 days at $160.00 per day 9 to 12 days at $145.00 per day 13 to 17 days at $125.00 per day 18 to 24 days at $2,255.00 total Please indicate the total number of days you are attending the program: Quantity Price: $ 160.00 CAD Quantity Please indicate the total number of days you are attending the program: Quantity Price: $ 145.00 CAD Quantity Please indicate the total number of days you are attending the program: Quantity Price: $ 125.00 CAD Quantity This is the flat fee for attendance of 18 or more days: Price: Your Retreat Refresh Program Fee Total: $ 0.00 CAD Do wish to pay in full or only the non-refundable deposit today?* I wish to pay the tuition fee in full today. I wish to pay the non-refundable deposit of $682.50 ($650+gst) today. Pay this today and get started. Price: If you select this option, you will need to go back and remove the quantity of days inputted in the form. Otherwise, that price will be added. We will contact you directly with the amount left owing. 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.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*.PhoneThis field is for validation purposes and should be left unchanged.
