Pranayama Immersion Week: Energize Life

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1 Welcome

2 Tuition

Add extra nights: nights after

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Single Room

Private room, shared bathroom.

Guests in Room:
In rooms

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$640

$640

$640
Single Room
Private room, shared bathroom.

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Double Room

Double Room, shared bathroom

Number of Guests:
In rooms

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$520

$520

$520
Double Room
Double Room, shared bathroom

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Apartment (1 person)

Private apartment, 1 queen bed, writing desk, seating area, private bathroom.

Guests in Room:
In rooms

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$900

$900

$900
Apartment (1 person)
Private apartment, 1 queen bed, writing desk, seating area, private bathroom.

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Apartment (2 people, Queen Bed)

Private apartment, 1 queen bed, writing desk, seating area, private bathroom.

Guests in Room:
In rooms

More Details +

$1,400

$1,400

$1,400
Apartment (2 people, Queen Bed)
Private apartment, 1 queen bed, writing desk, seating area, private bathroom.

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Apartment (2 people, Twin Beds)

Apartment, 2 double beds, writing desk, seating area, private bathroom. Book for you and a friend.

Guests in Room:
In rooms

More Details +

$1,400

$1,400

$1,400
Apartment (2 people, Twin Beds)

Apartment, 2 double beds, writing desk, seating area, private bathroom. Book for you and a friend.

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Apartment (3 people)

Private apartment, 3 twin beds, writing desk, seating area, private bathroom. Either book for you and 2 friends.

Guests in Room:
In rooms

More Details +

$1,400

$1,400

$1,400
Apartment (3 people)

Private apartment, 3 twin beds, writing desk, seating area, private bathroom. Either book for you and 2 friends.

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×
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Apartment (4 people)

Private apartment, 4 twin beds, private bathroom. Book for you and 3 friends.

Guests in Room:
In rooms

More Details +

$2,800

$2,800

$2,800
Apartment (4 people)

Private apartment, 4 twin beds, private bathroom. Book for you and 3 friends.

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3 People in your group

4 Participant Info

zip/postal code *	Please provide your zip or postal code as for future planning we would like to track where our online guests are located.
Cell Phone *
Address *
Address 2
City *
State/Prov. *
Zip/Postal *
Country *
Email newsletter	Please send me the email newsletter No thank you
Comments or Special Needs
Gender *	If you are staying in a shared room and you selected Other Gender, please explain in the Comments box below under Additional Information.
Birth Date *
Dietary Restrictions (Select all that apply)	Celiac Gluten-free Dairy-free Nut Allergy None
Do you have any food allergies or dietary restrictions?
Medical Issues	If none, please enter 'none'.
How did you hear about us? *
Ashram Guidelines and Cancellation Policy *	I have read and agree to the Ashram Guidelines and Cancellation PolicyPlease read the Ashram Etiquette, Guidelines and Cancellation Policy
How will you arrive? *	Private Vehicle (Arriving before 4:00 PM) Private Vehicle (Arriving between 4:00 - 6:00 PM) Private Vehicle (Arriving after 6:00 PM) Bus (Arriving at 12:47 PM in Woodbourne) Bus (Arriving at 2:57 PM in Woodbourne) Please call us if your transportation plans change. For bus arrivals, we will pick you up from the Woodbourne Fire Station in Woodbourne (last stop on local bus). Please call when getting on the bus in NYC to confirm bus time.
Education/Occupation
Please describe your experience with yoga and meditation
Previous Yoga Teacher Training? What type? Where did you study? What dates?
Prescribed medications	If none, please enter 'none'
Why would you like to come to the ashram?
Emergency Contact Name *
Emergency Contact Relationship
Emergency Contact Phone
Emergency Contact E-mail
Dietary Restrictions (Select all that apply)	Vegan Dairy-Free Gluten-Free Celiac Disease Nut Allergy None
Photo Release	I have read and agree to the Photo Release I have read the Photo Release and prefer not to be photographed Please read the photo release policy
Have you been at the Ranch before?	YES NO

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5 Additional Questions

6 Donate

$

7 Total

For security purposes, the address you enter for billing must match your credit card billing address. If your credit card transacation fails, do not repeat attempts. Instead, please contact the Ashram and we can assist.

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Donations	$0

Taxes	$0

Deposit	$0

Pay	Choose to pay a deposit or the full amount right now.

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Remaining Balance	$0

First Name
Last Name
Address *
City *
State/Province *
Postal/Zip Code *
Country *
Card Type
Card Number *
Card Expiration *	Month Year
Card Security Code	usually a 3 digit code on back of card

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Guest 1		First Name* Last Name* Email*
Guest 1		First Name* Last Name* Email*

1 Welcome

2 Tuition

Select an option*

Single Room

Double Room

Apartment (1 person)

Apartment (2 people, Queen Bed)

Apartment (2 people, Twin Beds)

Apartment (3 people)

Apartment (4 people)

3 People in your group

4 Participant Info

5 Additional Questions

6 Donate

7 Total