Pranapiloga

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1 Welcome

2 Price

3 People in your group

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

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4 Participant Info

Do you require transportation? *	Yes No If YES did you select the appropriate optional items for Transportation above? Transportation is available from Airport, Bus, and Train stations in Charlottesville VA only.
Spiritual/Preferred Name
Cell Phone (Primary) *	Please format phone #'s as xxx-xxx-xxxx
Home Phone	eg. xxx-xxx-xxxx
Address *
Address 2
City *
State/Prov. *
Zip/Postal *
Country *
Gender *
How would you like your name to appear on your badge?
First Time? *	Yes No Is this your first visit to Yogaville?
Hatha Yoga Level *
Meditation Level *
Do you already or would you like to receive the Yogaville Program Guide and Program Brochures?? *	Yes No At this time due to COVID we have discontinued the Program Guide and all print media sent in the mail. We are hoping to start again in 2023. If you'd like to receive print media in the mail to your address please check yes.
Email newsletter	Do you already or would you like to be sent our email newsletter?You'll receive our weekly newsletter with information about Yogaville happenings and upcoming programs!
Presenter Email List	Please add me to the presenters email marketing listNot all presenters have an email marketing list
Health Concerns or Physical Limitations?	Anything that may be useful in giving you the best service possible. Please list any serious allergies or physical limitations.
How did you hear about this program? *
If Other, please let us know how.	Please let us know in what other way you heard about this program
Personal Comments	Please Contact ARC Directly with any changes to your Reservation. 800.858.9642
Emergency Contact Name	First, Last
Emergency Contact Phone	xxx-xxx-xxxx
Relationship to Emergency Contact

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5 Discounts

Already a part of or want to join our Frequent Yogi Program? *	I'm already a Yogi!! No Yes I want to Join!! Stay for at least two nights, three times in one year, and get your next two-nights accommodations free. Click here for Details. There is no cost or obligation to be part of this Program. By clicking yes, we'll keep track of any qualifying reservations and after your 3rd qualifying stay you'll get 6 months to come again with free two-night accommodations. Please call Ashram Reservations to book your Free Stay: 800.858.9642 Formally known as our Member Discount Program

6 Agreements

Meal Agreement *	I acknowledge that buffet service with vegetarian and/or vegan only options will be provided as described below and that I will bring no animal products such as eggs, meat, or fish onto ashram grounds. What meals are included: - Dinner on arrival day - Breakfast, Lunch, and Dinner on full stay dates - Breakfast and Lunch on departure day All meals provided by the Ashram are vegetarian and/or vegan. No animal products such as eggs, meat, or fish are permitted onto ashram grounds. Thank you for understanding.
Terms and Conditions *	Yes! Continue with my RegistrationI have read and understand the Terms and Conditions

7 Donate

$	Donate Please consider supporting our mission of spreading peace through a donation. Satchidananda Ashram–Yogaville is a 501c-3 Nonprofit organization and all donations are tax-deductible.

8 Payment

Sub Total	$0

Donations	$0

Taxes	$0

% Deposit	$0

Due Now	$0 $0

First Name
Last Name
Card Number *
Card Expiration *	Month Year
Card Security Code	usually a 3 digit code on back of card

<-- Return To Program Page

1 Welcome

2 Price

3 People in your group

4 Participant Info

5 Discounts

6 Agreements

7 Donate

8 Payment