course registration form

Yoga Teacher Training - 4 week course

3rd to 14th October 2011 & 14th to 25th November 2011

Yoga asana at Yoga Teacher Training Accommodation at Hepburn Retreat Centre Vegan buffet at Hepburn Retreat Centre Chanting on Yoga Teacher Training Relaxing at Yoga Teacher TrainingAccommodation at Hepburn Retreat Centre

Read more about the course on the Yoga Teacher Training details page.

To register for yoga teacher training in October 2011, please complete the details below.

Please note. Do not complete this form if you are not planning to do the full 4 week teacher training. If you are interested in doing some of the modules, but not the complete training, register here.

Name *
Phone Number *
Email Address *
How did you find us? *   Google search (please note search term below)
  Other web search (please note search term below)
  Word of mouth
  Referral from another site
  Other (Please note below)
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Details of how you found us if "Other" was selected above
REGISTRATION & PAYMENT
I understand that registration and a deposit is required to reserve a space for me.
Once you have registered and made a payment, you will be sent a receipt and an Applicant Details form to complete.
Payment Options *   $4,490 - Early bird price (if paid by 4th July 2011)
  $4,950 - Full price (deposit req. by 4th August 2011)
  $500 - Deposit (full payment req. by 20th September)
Payment can be made by cheque or direct deposit to:
Yoga & Meditation Retreats Victoria - BSB: 633-000 Acct: 133182618
Cancellations: For a full refund of deposit, cancellations must be received no later than 14 days prior to event. Cancellations received later than 14 days prior to event are non-refundable.
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