Retreat with John Scott in spectacular Mustang

1-7 May 2019

Please return your completed registration form to

On offering you a place, we will send you the payment details. On receipt of your deposit we will send you the retreat information pack to help you plan your visit.

Name
Male or female
Date of birth
Email
Phone (inc country code)
Nationality
Country of residence
Occupation
Allergies / dietaryrequirements
Medical alert (injuries, physical limitations or health issues. Given the altitude, terrain and remoteness, please do share anything relevant)
Experience of Ashtangayoga
What attracts you to this retreat?
Accommodation / All rooms are twin-share. If you are attending with a friend and wish to share a room together, please name them here:
Otherwise we will match you with a fellow participant. Wherever possible, roommate-matches are single-sex. However, would you be willing/prefer to share a room with someone of the opposite sex? (Y/N)
Where did you hear about this event?
Comments / questions
(Optional field)

Liability Release

In any physical activity, risk of injury is possible. This retreat is in one of the world’s most remote locations, at 2,880m altitude, and involves a small-plane flight, travel by jeep on mountain roads, hiking and yoga. Travel to the nearest quality emergency clinic will involve airlifting. The nature of the location involves unpredictability and may affect the itinerary beyond our control.

This retreat is not recommended for individuals with certain conditions (e.g., cardiac illness, pregnancy, recently post-surgery).

While we pride ourselves on the quality and choice of provisions in the context, these are unlikely to be what you are used to at home. The retreat must be entered into with a spirit of adventure, flexibility and curiosity.

Mahalaya and the teachers will make responsible choices for all providers of transport, accommodation and food, and will keep you informed of any risks or issues. We will endeavour to connect you to local support services should you require services beyond our scope, but we are not responsible for the quality or availability of these. Medical insurance is mandatory for this trip.

I assume the risk of participating in this retreat and release the teacher(s) and Mahalaya Nepal from any liability claims. I am aware of the physical risks involved and understand it is my personal responsibility to consult with my doctor regarding my participation. I have no medical condition, which would prevent me from taking part (considering the altitude, hiking and yoga), I have declared any issues which the teacher needs to be aware of. I assume responsibility for any risk or injury I may sustain as a result of my participation.

Terms & Conditions

A non-refundable deposit of 50,000 NPR or$500is required in advance to secure your place. Payment details will be sent on confirmation of your place.

Should you need to cancel before the programme has begun, the following reimbursement structure will apply. We thank you for understanding this policy.

  • Cancellation 14 days or less prior to start date, 0% refund
  • Cancellation 15 days – 4 weeks prior to start date, 25% refund of the balance (less the non-refundable deposit)
  • Cancellation 4 to 8 weeks prior to start date, 50% refund of the balance (less the non-refundable deposit)
  • Cancellation more than 8 weeks before start date, 100% refund of the balance (less the deposit)

Mahalaya may use (tasteful) pictures or videos taken of participants during the event. This includes digital images which may be posted on our website.

Please do read the full terms and conditionsbefore signing.

I have read the above release and waiver of liability and understand its contents. I have read and agree to the terms and conditions.

Date:

Signature:(paste signature jpeg, or print, sign and scan)