Destination Belize
Registration Form
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Name *
Contact Number *
Email *
In case of an emergency please provide the name and number of a person we can contact. *
Do you have any allergies? *
Do you have any physical conditions that I should be aware of? *
Do you have any special dietary needs? (While there will be some vegetarian meals planned, the retreat strives to enjoy much of the cultural foods from the area which may include fish or chicken)  *
What is your yoga experience? *
A $500CN non-refundable deposit per person will secure your space on a first come first serve basis.  Kerry Berlinquette, from The Travel Agent Next Door, will contact you within 2 business days to arrange payment.  Payments can be made by e-transfer or credit card (a 5% fee will apply to all credit card payments) *
Required

This retreat is for adults 18 years of age or older.   All rooms have either a Queen size OR King size bed. Rooms will be allotted on a first come first serve basis and/or number of people deciding to join us.  A discount of $200/person will be granted for shared accommodations. Please indicate below if you are sharing and name of person you are sharing with.

Is there anything else you feel I should know about you before you attend?

Cost of Retreat is $2500 - Trip Price Includes: 

Accommodations for 7 nights at our own Private Villa, Belize situated on a private beach right on the ocean. 

Daily Yoga: Yoga classes will alternate between Kundalini Yoga, hatha, Yin, yoga nidra, meditation, sound healing, and pranayama (breath work).  Other yoga workshops/events are included and all yoga is optional. 

Meals:  Two gourmet meals including breakfast and dinner every day (the focus will be on cultural dishes that may include seafood or chicken.  Please advise if you are a strict vegetarian)  Snacks, soft drinks and non-alcoholic beverages. Note: Meals are a set menu. It is not possible for individual orders. 

Airport/Pier TransfersShuttle service to and from San Pedro Airport or Ferry Pier scheduled on arrival and departure days only.  

*
Required

Trip Price Does Not Include:

Airfare to and from San Pedro, Belize. (Paula Ribotto cannot refund any cost for airfare in the case you need to cancel.  It is highly recommended that you purchase cancellation and travel insurance.)

Cost of shuttle service each way if arriving or departing on non-scheduled days.

Alcoholic beverages

Massage or spa treatments

Tours and Excursions.

 Staff gratuities 

*
Required

Cancellations / Refunds: 

The following outlines cancellation policies:

$500 deposit is non-refundable 

Remainder of costs can be refunded up to Nov. 1st 2023.  No refunds given for cancellations on or after Nov. 1st  2023 or for airfare purchased to attend the retreat. 

If the participant arrives late to the retreat or leaves prior to its conclusion, refunds will not be made for any unused portion of the retreat. No refunds will be made for meals, yoga classes or other activities that the participant misses or decided not to participate in for any reason.

*
Required

Travel insurance: 

It is recommended for all participants to purchase travel insurance. Your travel insurance should provide coverage against trip cancellation or interruption, personal accident, illness, death, medical expenses and emergency repatriation.

*
Required

Passport: 

A passport is required to enter Belize and must be valid for at least 6 months after the date of trip. Each participant is responsible for determining their specific passport requirements and obtaining the necessary documents prior to departure. 

The process for obtaining a new passport can take 4-6 weeks. Non-Canadian citizens must consult with appropriate consulates to determine if any visas are needed.

Covid 19 rules and regulations are constantly changing and being updated.  Our travel agent, Kerry Berlinquette, will keep us up to date on any regulations that need to be followed if the present requirements change.

*
Required

Photographs / Video: During the retreat I or Yoga 4 All may be photographing and digitally recording parts of the retreat and reserves the right to use any such photographs / videos / digital recordings in its advertising, displays, publicity materials and publications without obtaining further consent from any participant. 

The undersigned hereby grants Paula Ribotto & Yoga 4 All permission to use their likeness in written publications and documentation, and on audio, video, television and the internet. I release, discharge and agree to hold harmless Paula Ribotto and Yoga 4 All  from any liability that may occur in the reproduction of the finished product. 

All profits, proceeds and income resulting from the production, distribution, sale and promotion of this product are the exclusive property of Paula Ribotto and Yoga 4 All of Thunder Bay, ON.
I give permission for my picture to be taken.
*
Payment Option
Kerry Berlinquette will be in contact with you within 2 business days to complete your Non-refundable deposit payment of $500CN.  A second payment of $1000CN will be due 90 days after the deposit is made with the balance for the retreat due on or before Nov. 1st 2023.  A payment plan can be set up upon request. You have the option of paying by e-transfer or credit card( note: an additional 5% fee will be added to credit card payments) Kerry's contact info is:

Kerry Berlinquette

The Travel Agent Next Door- Thunder Bay 

1003-55 York St Toronto ON M5J 1R7

Phone/Text  (807) 631-7837

Toll Free 1 855-701-8263 ext 2837

kberlinquette@ttand.ca

TICO#: 50021282

I will be paying by: *
Consent
It  is  always  advisable  to  consult  your physician  before  starting  any  exercise program.    It  is  important  that  you  inform me  of  any  health  conditions  prior  to starting  the yoga retreat.    If  at  any  time  your health condition changes or you are unsure of  participating  please  inform  me  as soon as possible.

All  exercise  programs  involve  a  risk  of injury.    By  choosing  to  participate  in this retreat you voluntarily assume a certain risk of injury.  Awareness is fundamental to the practice of Yoga.  It is your responsibility as  a  student  to  monitor  each  activity  and determine whether it is appropriate for you to participate. I, the undersigned, recognize that it is my responsibility to notify my instructor of any serious illness or injury before every yoga class.    I  am  also  aware  that  I  should  not hold  any  posture  when  there  is  excessive strain.

By clicking [Submit] you accept that neither the instructor, nor Yoga 4 All is liable for any injury  or damages resulting from your participation.  
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