Registration Form February 16 – February 23, 2019 ❧ GSY Teacher Training Certification Level 3 ~

• Mar de Jade, Mexico - February 16 - 23, 2019

  Gentle Somatic Yoga Teacher Training Certification Level 3

• A non-refundable $995 registration fee will secure your space. If the program is cancelled* by Gentle Somatic Yoga, the full deposit will be refunded. The deadline for signing up and sending in your registration forms is February 9, 2019.

  *A minimum number of participants (12) are required for this teacher training.

  INCLUDED IN THE COST OF THE TRAINING:

  • 36-Hr GSY Teacher Training Certification Tuition ($995 USD) facilitated by James Knight and Teya Alden

• Course Manual will be sent via email. This manual will be issued to you prior to training

NOT INCLUDED IN THE COST OF THE RETREAT:

• Air Fare
• Ground Transportation

• PERSONAL INFORMATION

  It is our policy not to sell or share your personal information. It will only be used for GSY internal purposes.
• Name*
  First Last
• Address*
  Street Address City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country
• Phone*
• Email*
• Passport Number*
  Please enter your Passport Number and Expiration Date.
• Passport Expiration Date

• ACCOMMODATION SELECTION

  Comfortable and well-appointed rooms and suites, ranging from singles to quadruples with a variety of price ranges; include Ocean, Garden, and/or Jungle views. To select your choice of room (and make dietary requests), use this LINK to inquire with Mar de Jade on availability: https://tinyurl.com/mardejade .... Or, contact them directly via their toll free telephone number: 1-800-257-0532. If contacting Mar de Jade directly to make your arrangements, inform them that you are attending the GSY Teacher Training event with James Knight.

• GROUND TRANSPORTATION OPTIONS

  You are responsible for your ground transportation to Mar de Jade. There are various options available. For example, you may rent a car, hire a taxi, or take a bus. However, one of the most efficient and economical ways to get to the retreat center is to have them arrange transportation for you for a nominal fee. Mar de Jade has shuttle vans that will retrieve you at the Puerto Vallarta airport and take you directly to their retreat center (transport time is approximately 2 hours from door to door). This can easily be arranged when you contact them for your room accommodations.

• EMERGENCY CONTACT INFORMATION

  Who would you like us to notify in event of an emergency?
• Relationship*
• Emergency Contact Name*
  First Last
• Emergency Contact Email*
• Emergency Contact Phone*
• Can this phone number receive texts?*
  • Yes
  • No

• HEALTH CONCERNS

  In order to ensure your safety and maximize the benefits of the program, please list injuries or other health issues that challenge you at this time. This information is strictly confidential.
• Health Concerns*
• Teacher Training Intentions*
  What are your intentions for taking this program? What are you most eager to experience?
• Other Needs
  Anything else you would like to tell us about you and/or your needs?

• AUTHORIZATION

  By printing my name below, I confirm my understanding that if Gentle Somatic Yoga cancels this event, my $995 registration fee will be fully refunded. Otherwise, this fee is non-refundable. I acknowledge my full responsibility for my own physical and psychological health and well-being. If a need of any kind arises, I will immediately notify a program facilitator. I confirm my full understanding of the information contained herein this document.
• Print Full Name*
• Date*
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