Yoga Vacation

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1 Welcome

2 Stay Dates

3 Choose Accommodations

Enter the TOTAL number of people in each accommodation type, including children.

Select an option*

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Dorm Room

Shared room, 3-4 twin bunk-style beds, same gender, shared bathroom.

Number of Guests:
In rooms

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$85

$85

$85
Dorm Room
Shared room, 3-4 twin bunk-style beds, same gender, shared bathroom.

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Double Room

Double Room, shared bathroom

Number of Guests:
In rooms

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$100

$100

$100
Double Room
Double Room, shared bathroom

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Single Room

Private room, shared bathroom.

Guests in Room:
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$145

$145

$145
Single Room
Private 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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$195

$195

$195
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

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$290

$290

$290
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

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$290

$290

$290
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

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$435

$435

$435
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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Apartment (4 people)

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

Guests in Room:
In rooms

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$580

$580

$580
Apartment (4 people)

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

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Bring Your Own Tent

Campground with restroom and shower facilities - bring your own tent, bedding, towels, and gear.

Guests in Room:
In rooms

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$70

$70

$70
Bring Your Own Tent
Campground with restroom and shower facilities - bring your own tent, bedding, towels, and gear.

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4 People in your group

Guest 1		First Name* Last Name* Gender* If you are staying in a dorm or double shared room and you selected Other Gender, please explain in the Comments box below under Additional Information. Email* Emergency Contact Name*
Guest 1		First Name* Last Name* Gender* If you are staying in a dorm or double shared room and you selected Other Gender, please explain in the Comments box below under Additional Information. Email* Emergency Contact Name*

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5 Participant Information

Spiritual Name
Gender *	If you are staying in a dorm or double shared room and you selected Other Gender, please explain in the Comments box below under Additional Information.
Birth Date *
Have you been at the Ranch before? *	YES NO
How did you hear about us? *
If you selected other, please describe...

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6 Contact Information

Cell Phone *
Alternate Phone
Address *
Address 2
City *
State/Prov. *
Zip/Postal *
Country *

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7 Emergency Contact Info

Emergency Contact Name *
Emergency Contact Relationship
Emergency Contact Phone *
Emergency Contact E-mail

8 Dietary Notes

Do you have any food allergies or dietary restrictions? *
Dietary Restrictions (Select all that apply)	Vegan Gluten-Free Dairy-Free None

9 Additional Information

Medical Issues *	If none, please enter 'none'.
Prescribed medications *	If none, please enter 'none'
Will you be bringing children 12 and under?
Child discounts	Depending on the age(s) of your child(ren), you may be eligible for discounts on your reservation. Please call us for more information at 845-436-6492.
Comments or Special Needs
How will you arrive? *	Private Vehicle (Arriving before 6:00 PM) Private Vehicle (Arriving after 6:00 PM) Bus (Arriving at 12:47 PM) Bus (Arriving at 2:57 PM) Bus (Arriving at 5:20 PM) Bus (Arriving at 6:58 PM) Please call us if your transportation plans change. For bus arrivals, we will collect you from the Citgo gas station in Woodbourne.
Education/Occupation *
Please describe your experience with yoga and meditation *
Why would you like to come to the ashram? *
What do you hope to achieve during your stay? *
Please tell us a little about yourself *

10 Agreements

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
Email newsletter *	Please send me the email newsletter No thank you
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

11 Donate

$

12 Payment Information

PLEASE NOTE: if you would like to pay with a gift certificate, or use a personal credit from a previous stay, you MUST call us once you book your reservation, so we can deduct it from the total due. Please call 845-436-6492

Sub Total	$0

Donations	$0

Taxes	$0

Deposit	$0

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

Due Now	$0 $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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1 Welcome

2 Stay Dates

3 Choose Accommodations

Select an option*

Dorm Room

Double Room

Single Room

Apartment (1 person)

Apartment (2 people, Queen Bed)

Apartment (2 people, Twin Beds)

Apartment (3 people)

Apartment (4 people)

Bring Your Own Tent

4 People in your group

5 Participant Information

6 Contact Information

7 Emergency Contact Info

8 Dietary Notes

9 Additional Information

10 Agreements

11 Donate

12 Payment Information