Shasta – Register Now!

SOAK IN THE SACRED
A Yoga & Nature Retreat in Mount Shasta
June 17-21, 2020
Registration and Deposit Form

NAME

First Name

Last Name

PREFERRED PRONOUN

EMAIL

ADDRESS

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

PHONE

(###)

###

####

EMERGENCY CONTACT

Name, Relationship, Phone Number, please!

ROOM SELECTION

Room selection is first-come, first-serve. Reserve early – rooms will fill quickly. Prices increase by $100 after April 30.

BEAR SHARED ROOM: Perfect for a couple, or two friends looking to share their own space, this comfy room with one queen and two twins is located on the first floor of the community A-Frame house. A shared bathroom is just outside the room. $1,500 per person, early bird pricing. 2 people.

FISH & HUMMINGBIRD SHARED ROOMS: Located on the top floor of the A-Frame, these spacious rooms offer each guest their own bed in a light-filled and airy sanctuary. Bathrooms are shared. $1,025 per person, early bird pricing. 3-5 people per room.

CANVAS TENT GLAMPSITES: These sturdy canvas tent sites include a fully set-up canvas tent with real beds and linens, a small floor rug, lantern, and side table. Glampsites have access to an outdoor sink and shower, and outdoor latrine bathrooms. $825 per person, early bird pricing. Glampsites can sleep up to 2 people.

SHARED YURT: This spacious yurt tucked away in the trees sleeps five on comfortable floor mattresses in a fully enclosed domed yurt. Guests have access to an outdoor sink and shower, and latrine style bathrooms. $750 per person, early bird pricing.

ROOMMATE NAME

If you have a roommate, please fill in the name of your friend(s).

DEPOSIT REQUIRED

This completed form and a deposit of $300 per person is required to reserve your spot. Deposits (or full payment) must be received within 7 days of submitting your registration form to hold your space at the retreat.

I agree to send the following deposit to reserve my spot: $300

Deposits can be made by check or through Venmo (Maureen-cane). Checks can be made to Maureen Cane and mailed to 1529A Delaware Street, Berkeley, CA 94703.

I plan to mail my deposit check.

I plan to Venmo my deposit.

TERMS & CONDITIONS

In the event of cancellation 30+ days prior to the retreat, you will be refunded for your payment minus your deposit. If you cancel less than 30 days prior to the retreat, unfortunately no credit or refund is possible.

All outstanding balances must be paid in full by May 15th.

I Agree.

FOOD RESTRICTIONS

We will enjoy fresh, healthy and delicious food while on retreat.
Special dietary requests and restrictions are accommodated as best as possible.

Please check as many boxes as apply to you.

I AM….

Vegetarian

Vegan

Diary Free

Gluten Free

Semi-Vegetarian, but I do eat fish

None of the above, I eat almost everything

I have other restrictions not listed here

VEG or NON-VEG?

If meat dishes are available…

I will gladly eat them!

I will stick to the vegetarian options.

OTHER FOOD RESTRICTIONS

If you have any other dietary restrictions, please write them in here:

YOUR YOGA PRACTICE

Please tell me a little about your yoga and/or meditation practice (frequency, years practiced, style, teachers, etc.) so that I can better serve you.

COMMENTS

Please include anything else you would like us to know.

If you have any questions or problems with the registration process, please contact me at Maureen@MaureenCaneYoga.com.
Thank you.