Ananda in Texas Kriyaban Retreat RegistrationOctober 27-30, 2023 "*" indicates required fields Contact InformationName* First Last Phone*Email* What is your approximate time of arrival?* Accommodations and MealsRoom Selection*3 day/3 night cost includes all meals. See schedule Private $399 Shared $229 HiddenWhen will you be attending the retreat?* Day Pass$169 ((Includes all classes and gatherings as well as all meals on Saturday and Sunday Indian Banquet. Additional meals can be purchased separately. It also includes flower and fruit offering for Kriya Ceremony. It does NOT include Kriya donation.) Sunday Banquet Adult Tickets Quantity* Price: $30.00 Quantity Child Tickets Quantity*For children 16yo and under Price: $15.00 Quantity HiddenWhich additional meals would you like to join us for? ($12 each) Friday Dinner Sunday Breakfast Monday Brunch I will not be needing any additional meals at the retreat Friday Dinner Price: Sunday Breakfast Price: Sunday Breakfast Price: HiddenSunday Banquet Ticket* Adult $30 16 and under $15 Do you have a pre-selected roommate?* Yes No What is the name of your roommate? (Roommate needs to register separately)* Will you be joining us for meals?*All meals are included. See schedule 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)Photography Release FormBecause we'd like to chronicle this retreat, we may like to use photos taken that could include you in them. Is that ok?* Yes No I agree that (please check the box):* I decline authorization of any likeness of mine in photographs used for promotional materials or on the internet. I agree that (please check the box):* I hereby acknowledge that this Photography release form (hereinafter referred to as "form") becomes effective on October 27, 2023.. I agree that (please check the box):* I hereby authorize the Ananda Meditation and Yoga Center of Dallas to make any use of all photographs of me to be used for promotional materials. I agree that (please check the box):* I hereby acknowledge that I will not be entitled to payment or any sort of charge for such action. I agree that (please check the box):* I authorize the use of my photograph for, but not limited to, publication on the internet, magazines, journals, books, articles, etc., provided that it is done for lawful purposes. I agree that (please check the box):* I hereby release all rights to any, but not limited to, claims, rights, demands, and/or any causes of action by me or my representatives, heirs or anyone else. I agree that (please check the box):* Furthermore, I hereby waive my right to any royalty or any other compensation with regard to the usage of the photos referred to in this Form. My signature below confirms that I agree with the above statements regarding photography.*Please sign below (required)CANCELLATION POLICYACCOMMODATIONS: 50% refund if cancelled by Sept 25th. All other guest cancellations after Sept. 25th 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.*ACCOMMODATIONS: 50% refund if cancelled by Sept 25th. All other guest cancellations after Sept. 25th 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. HiddenPaymentRetreat Registration Fee Discount Code Δ
