Upcoming Trips

FUTURE DESTINATIONS

Costa Rica Jan 15-22. 2011


Africa  TBA

Italy TBA

Peru TBA

Thailand TBA
 
 
---------------------



 

 

 



 

Reservation Request Form

Please complete one reservation form per traveler.
 
A deposit of US $500 is due at the time your reservation is made.  Please note cut off for non-refundable policy date per your Destination.
 
Full payment is due 90 days prior to the first day of your scheduled Amazing Yoga Travel Retreat/Vacation.  Full payment may be made by personal check or money order.  Please note: PayPal is accepted for your initial $500 deposit only.
 
Please contact us for U.S. mailing address.
 
Your Trip Date:*
Trip Name:*
   
Personal Data
First Name:*
Last Name:*
Birthdate:*
Gender:*
Male Female
Mailing Address:*
Address Line 2:
City:*
State/Province:*
Zip/Postal Code:*
Country:*
Contact Number:*
E-mail Address:*
Passport Number:*
Passport Country:*
Expiration (mm/yy):*
Reservation Payment Amount:*
US$500 deposit    
Full payment for trip (indicate amount in US$)
Form of Payment:*
Paypal ($500 Max) Check
(US bank only)		 Money Order
Details of Check or Money Order:
If you are traveling with someone else please list name/s:
Will you be sharing a room or do you prefer single accommodations?
Contact person in case of emergency:*
Relation to you:*
Contact Number:*
City / State:*
   
Travel Information
Arrival Date:
Time:
Airline / Flight #:
Departure Date:
Time:
Airline / Flight #:
   
Health Information
Do you have any health conditions (asthma, allergies, heart conditions, etc.) or are you taking medications that we should know about?:*
Do you have any physical limitations that may affect your participation in the yoga sessions that we should be aware of (back conditions, knee/ankle problems, recent injuries, vision, hearing, etc.)?:
   
Yoga Experience
Do you have any yoga experience?*
How long have you practiced yoga?*
How often do you currently practice?*
What type of yoga do you practice? (e.g. Iyengar, Ashtanga, Sivananda, Vinyasa Flow, Power, Anusara, Hatha, non-specific, etc.
   
Participant Agreement
 
I, the undersigned, have read, understood and agree to the above Cancellation Policy and Liability Waiver and Assumption of Risk.
Name of Participant:*
Signature:
Date:
Amazing Yoga Travel Trip Date:*
 
 
Joomla Professional Work
-->