Ananda in Texas 2022 Kriyaban Retreat Registration "*" indicates required fields Step 1 of 7 14% Contact InformationName* First Last Phone*Email* Attendance and Lodging DetailsHiddenDates of attendance* Friday Oct 21st - Sunday October 23rd Sunday Banquet only (if you are paying for a private or shared room, banquet is included) Dates of Attendance (select all that apply)* Saturday Day Pass Sunday Banquet HiddenWhat is your approximate time of arrival?* HiddenRoom Selection*3 day/2 night cost including 2 breakfasts, Friday dinner, Saturday lunch and dinner, Sunday banquet Private $369 Shared $199 Saturday Day Pass*(includes morning sadhana, brunch, satsang, dinner, flowers and fruit for kriya) $149 Sunday Banquet Ticket* Adult $30 16 and under $15 HiddenDo you have a pre-selected roommate?* Yes No HiddenWhat is the name of your roommate? (Roommate needs to register separately)* Dietary InformationWill you be joining us for meals?*Saturday brunch and dinner are included. Yes No Do you have any dietary concerns or restrictions you want us to know as we plan simple vegetarian meals? Please provide details below. If there are no concerns, please indicate that as well.* General Release of LiabilityIn the unlikely event that an accident, sudden illness, or even death should occur while traveling to and attending the Kriya Retreat events, Sunday Service, or Banquet, hosted by Ananda Dallas at the Springhill Retreat Center, I affirm with my signature that I shall not hold Ananda Dallas nor Springhill Retreat Center responsible for costs, damages, or liability resulting from participation from the activities therein. I fully accept responsibility for costs relating to any emergency that might arise during my time at and travel to the retreat center. My signature below is confirmation of the same.*Please sign below (required) EVENT ATTENDEE WAIVER AND RELEASE OF COVID-19 LIABILITY FORMAnanda Dallas continues to monitor policy and procedures during the COVID-19 pandemic. The safety and well-being of our community, including retreat guests and visitors, is our top priority. Ananda Dallas has put in place preventative measures to reduce the spread of the COVID-19 virus; however, we are unable to guarantee that any guest will not become infected with the virus while on the Springhill Retreat Center premises and in the surrounding areas. Please review the agreement below. Your signature confirms your intent and commitment to abide by policies put in place to protect retreat attendees.I agree that (please check each box):* I am not experiencing or exhibiting any COVID-19 related symptoms as outlined by the Centers for Disease Control, such as, but not limited to, fever, dry cough, or shortness of breath. If I do experience these symptoms prior to the retreat, or while I am there, I will e-mail Maitri maitri@anandadallas.org. a* I will do my best to maintain physical distancing of six feet from others when possible. a* I will abide by the Ananda in Texas Kriyaban Retreat policy on mask wearing which will be based on the most updated CDC guidelines at the time of the retreat. a* I do not believe I have been recently exposed to a person or animal with a positive case of any variant of COVID-19. a* By signing this event attendee waiver and release of liability form, I acknowledge the contagious and evolving nature of COVID-19 and voluntarily assume the risk that I may be exposed to the virus and become infected as a result. I understand the risk of becoming infected may impact members of the community, event guests, and event attendees’ families or personal contacts. a* I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any expense, liability, illness, injury, disability, or death related to contracting the virus while attending an event hosted by Ananda Dallas. a* I hereby release, discharge, and hold harmless Ananda Dallas from all claims regarding COVID-19 existing before, during, or after attendance at the Kriya Retreat on October 21 - 23, 2022. My signature below confirms that I will abide by the above statements regarding COVID protocols.*Please sign (required) CANCELLATION POLICYCANCELLATION POLICY: ACCOMMODATIONS:50% refund if cancelled by Sept 20th. All other guest cancellations after Sept. 20th are nonrefundable as we are within the cancellation policy window of the facility. PASSES AND BANQUET: All guest passes and banquet tickets are nonrefundable. If retreat is cancelled due to an act of God, government mandate, etc., we will reschedule the event and your registration is automatically transferred. Credit will be given if you cannot participate in rescheduled event.* By checking this box, I am accepting and agreeing to the above cancellation policy. PaymentRetreat Registration Fee Discount CodeIf you have been provided with a discount code in exchange for service, enter that here. (optional) Payment MethodPayPal CheckoutCredit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name Δ
