Fall 2021 Retreat with Michelle Chua

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Breath of Perspective, Yoga in Nature Retreat
Dates: November 1-3, 2021
Location: 11560 Calle Real, Santa Barbara, CA 93117
(818) 235-9067 or Root2RiseYoga@gmail.com

Email *

Name *

Email *

Phone Number *

Please share your intention for joining this retreat. *

Date of Registration (includes when a deposit of 50% of your total retreat amount is due) *Early Bird registration ends Sept. 1st *

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Accommodation Choice (If "shared," please first select your roommate and register at the same time separately.) *

Single Cabin $1015 Early Bird ($1065 after 9/1)

Shared Cabin $725 Early Bird ($775 after 9/1) per person

Single Tent $780 Early Bird ($830 after 9/1)

Shared Tent $600 Early Bird ($650 after 9/1) per person

Other:

If you're choosing "shared" accommodation, please provide the full name of your roommate, who is also registering.

Dietary restrictions (Our meals will be catered and plant-based.) *

Please list 2 Emergency Contacts, including their full name, phone number, emails and relationship to you. *

Please read our CANCELLATION POLICY and TYPE YOUR FULL NAME BELOW as your signature of agreement. Michelle Chua and Root 2 Rise Yoga will do their best to facilitate an enjoyable inspiring yoga and wellness retreat at El Capitan Canyon Nature Lodging. In rare unforeseen circumstances, plans may change. The following outlines Root 2 Rise Yoga’s cancellation policy: 1.) If you choose to cancel your participation in this retreat, state it in writing via email to Root2RiseYoga@gmail.com. 2.) The first 50% of your total payment due upon registration is a non-refundable deposit that cannot be applied to other yoga offerings, classes, retreats or events. 3.) If you cancel by October 1, 2021, your total payment minus the deposit will be refunded. 4.) If you cancel after October 1, 2021, there is no refund. 5.) In the unlikely case that Michelle Chua or Root 2 Rise Yoga cancels this retreat due to unforeseen uncontrollable circumstances, your payment will be fully refunded. Prior to such cancellation, other similar accommodations or options within the retreat area will be explored and proposed to you. Michelle Chua and Root 2 Rise Yoga are not responsible for your expenses incurred in preparation for any canceled retreat. These may include airline tickets, loss of work, or other costs associated with preparing for your trip. Please type your full name below as your signature of agreement to these terms. (Type your full name below.) *

Please read our LIABILITY WAIVER and TYPE YOUR FULL NAME BELOW as your signature of agreement to these terms: While Root 2 Rise Yoga and Michelle Chua prioritize your safety above all, there are inherent risks involved in participating in physical activities, such as yoga in nature, outdoor adventure and recreation. These risks are not limited to damage or loss of personal belongings and personal injury. By signing below, you, the retreat participant, state that you are in satisfactory health and suffer no physical impairment to voluntarily participate in the yoga sessions, outdoor adventure and recreation per retreat description. You accept and assume all risks existing in those activities and in staying at El Capitan Canyon Nature Lodging. You agree to research the risks of those activities for which you are not aware. You agree to inform Michelle Chua and Root 2 Rise Yoga in writing of any allergies, dietary needs or preconditions that may affect your and others’ safety and well being. You are responsible for bringing sufficient medications or health aids you may need in a manner that is legally approved to the retreat. You and your associates (i.e., family, friends, etc.) voluntarily waive any claim to maintain a lawsuit or demands of any kind against Root 2 Rise Yoga or Michelle Chua for any injury, illness, death, accident or loss or damage of personal property, which may occur during your participation on this Yoga in Nature Retreat. (Type your full name below.) *

Please indicate the payment amount you'll provide (50% or full amount) to secure your registration. Payments are accepted via cash, cashier's check, Venmo to @root2riseyoga, Zelle to Root2RiseYoga@gmail.com, PayPal or credit card in-person via Square. The latter two options accrue a 3.5% service charge. If PayPal, you'll receive an invoice via email once space is confirmed. Checks can be made payable to Michelle Chua and mailed to: 5757 Franklin Ave., #202 Los Angeles, CA 90028. Please submit payment only after your registration has been accepted and space availability is confirmed. *

Please type your full name below in agreement that the remainder of your full retreat payment amount, if not paid in full at registration, is due by October 1, 2021. *

If you're interested in carpooling with other retreat participants, please indicate the city you'll be coming from and whether or not you'd like to drive. A group email will be sent to those interested in carpooling so you can make arrangements with each other.

Thank you for choosing to join us! Find our retreat info at: Root2RiseYoga.org/Fall-2021-Retreat

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