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Raja Yoga Intensive Course with Swami Sitaramananda - TAIWAN STUDENTS

July 11 - 16, 2026

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Price

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CAD $500.00 – Program Price

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Guest 1		First Name* Last Name* Genre / Gender* Email*
Guest 1		First Name* Last Name* Genre / Gender* Email*

Participant Info

First Name *
Last Name *
Genre / Gender *
Date de naissance / Birthday *
Téléphone / Phone *
Téléphone cellulaire / Mobile Phone
Email *
Adresse complete / Full address *
Address 2
City *
State/Prov. *
Zip/Postal *
Country *
Ville / City *
Pays / Country *
Restrictions Alimentaire* / Dietary restrictions * *	Végétalien / Vegan Sans Gluten / Gluten Free Arachides / Peanut Produits laitiers / Dairy Aucune / None Autre - svp spécifiez / Other - please specify The kitchen does its best to offer healthy meals usually including vegan and gluten free alternatives. However, prepared items may contain or come into contact with WHEAT, PEANUTS, TREE NUTS, and MILK. For more information, always ask what is in the food choices before eating and always bring your own stock of prepartion- and refridgerator-free alternatives. Note that guests are not permitted to walk in and out of the kitchen due to health and safety regulations.
Êtes-vous déjà venu avant? / Have you been here before?	Oui / Yes No / Non
Si oui, à quel programme avez-vous participé ? / If so, what programme did you attend?
Règlement Intérieur/Rules and Regulations *	I have read and accept the rules and regulations of the Ashram. Lire les règlements et politiques Read the rules and regulations
Formulaire de décharge de responsabilité / Liability Form *	I have read and accept the liability form of the Ashram. Lire le formulaire de décharge Read the liability form
Politique de Remboursement et d’Annulation/Refund & Cancellation Policy *	I have read and accept the Refund & Cancelation Policy of the Ashram. Lire la politique de remboursement et annulation Read refund and cancelation policy
Maladies et/ou antécédants psychiatriques, instabilité émotionnelle, mentale - médicaments le cas échéant / Illnesses, psychiatric history, emotional, mental instability - medications if any
Contact en cas d'urgence: Nom / Emergency Contact: Name *
Contact en cas d'urgence: Téléphone / Emergency Contact: Phone *
Comment avez-vous entendu parlé de nous? How did you hear about us? *
Courriel infolettre / Email newsletter *	Francais English Aucune / None Notre infolettre peut facilement être traduite en toute autre langue avec Google Traduction / Our Newsletter is easily translate in any language with Google translate.
Anti-Harassment Policy *	I have read, understood, and accepted the Anti-Harassment PolicyRead anti-harassment policy
Waiver *	I have read and accept the waiver form of the Ashram. Waiver
AUTRE restriction alimentaire/OTHER diatery restriction
À quelle fréquence pratiquez-vous les asanas (postures de yoga)? / How often do you practice yoga asanas (postures)? *	Je n'ai jamais fait de yoga avant / Never practice before Rarement (une à deux fois par an) / Rarely (once or twice per year) Occasionnellement (quelque fois par mois) / Occasionally (couple of times per month) Fréquemment (quelques fois par semaines) / Frequently (couple of times per week)
Avez-vous des blessures ou conditions médicales chroniques non supervisées par un professionnel de la santé? / Do you have any current injuries or chronic medical condition (not under professional supervision)? *

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