New Year Retreat Registration Form

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𝐑𝐞𝐭𝐫𝐞𝐚𝐭 𝐃𝐞𝐭𝐚𝐢𝐥𝐬:
Dates: Dec 31, 2021 (8 AM) to Jan 2 (12 noon), 2022 (New Year weekend)
Address: Canadiana Motel 617 10th Street, Hanover, ON Canada, N4N 1S1
Contact us at
Email: contact@shri-kripalu-kunj-ashram.org
Google Maps link to venue: https://goo.gl/maps/FM7Ut4wvQq2YmN2F7

𝐍𝐞𝐚𝐫𝐞𝐬𝐭 𝐀𝐢𝐫𝐩𝐨𝐫𝐭: Toronto Pearson International Airport (https://goo.gl/maps/cPp8xp55DsZLsCPs7)

𝐏𝐥𝐞𝐚𝐬𝐞 𝐍𝐨𝐭𝐞:
-𝐏𝐫𝐨𝐨𝐟 𝐨𝐟 𝐕𝐚𝐜𝐜𝐢𝐧𝐚𝐭𝐢𝐨𝐧 𝐫𝐞𝐪𝐮𝐢𝐫𝐞𝐝.
-𝐌𝐚𝐬𝐤𝐬 𝐚𝐫𝐞 𝐫𝐞𝐪𝐮𝐢𝐫𝐞𝐝 𝐟𝐨𝐫 𝐜𝐨𝐦𝐩𝐥𝐞𝐭𝐞 𝐝𝐮𝐫𝐚𝐭𝐢𝐨𝐧 𝐨𝐟 𝐭𝐡𝐞 𝐫𝐞𝐭𝐫𝐞𝐚𝐭.
-𝐓𝐡𝐞 𝐦𝐚𝐱𝐢𝐦𝐮𝐦 𝐜𝐚𝐩𝐚𝐜𝐢𝐭𝐲 𝐢𝐬 𝟓𝟎 𝐩𝐚𝐫𝐭𝐢𝐜𝐢𝐩𝐚𝐧𝐭𝐬. 𝐑𝐞𝐠𝐢𝐬𝐭𝐫𝐚𝐭𝐢𝐨𝐧 𝐢𝐬 𝐨𝐧 𝐚 𝐟𝐢𝐫𝐬𝐭-𝐜𝐨𝐦𝐞 𝐟𝐢𝐫𝐬𝐭-𝐬𝐞𝐫𝐯𝐞𝐝 𝐛𝐚𝐬𝐢𝐬.

Email *

Full Name *

Total number of people attending (including yourself) *

Please list names of all family members/friends attending with you. (Enter N/A if attending by yourself) *

Your address *

Your Phone number *

What days will you attend? (If you do not plan to attend all three days, please mention which days you will attend: Day 1, Day 2, Day 3) *

All Three Days

Other:

Please enter your arrival date

YYYY

Please enter your arrival time (24 hr format)

Time

Dietary restrictions

I agree to follow the Government recommended COVID-19 guidelines, including wearing a mask while indoors. *

Yes

Required

I confirm that I and the participants over 12 years that I am registering with me are fully vaccinated. *

Yes

Required

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