Yana Event

Yana Retreat Registration

August 12th - 17th, 2022 at Sarana Springs near Chatsworth, ON. Learn more at saranainstitute.org.
Name *

First Name Last Name
Email Address: *
example@example.com
Phone Number *
Please enter a valid phone number.
Age *
Please indicate your pronouns (optional):
How did you hear about this retreat and/or Sarana Institute? *
What inspired you to join us for the Yana Retreat? *
Everyone has their own strengths and skills. At this time in your life, what would you say your biggest strengths are? *
In this retreat, we will be doing some deep personal work with personal patterns or habits that may be limiting our potential and our healing. What are your current obstacles or challenges impacting your life right now? *
Do you have any current or former mindfulness and meditation practice? If so, please share with us your experiences with meditation training and/or practice. If you have a daily practice right now, what does it consist of? *
What do you hope to gain by participating in this retreat? What do you imagine the ripple effects might be in your life? *
You will be camping for the retreat and we will be outside most of the time. Nature connection is one of the pillars of our program. Tell us a bit about your connection to nature. Do you spend much time in nature? And are there any concerns you have about spending 6 days in the elements? *
This retreat has all meals catered. Meals will not be strictly vegetarian, but there will be many vegetarian options. Please indicate if you need any of the following:

strictly gluten free meals strictly dairy free meals strictly vegan meals
Do you have any other allergies, sensitivities, or dietary choices we need to be aware of? *
Emergency Contact Name *
Emergency Contact Phone Number *
Alternate Emergency Contact *
Alternate Emergency Contact Number *
Where will you be travelling from to get here? *We are asking this to support carpooling when possible as some participants may be arriving from other towns or cities. *
Please indicate one of the following for carpooling purposes:

I am not available to carpool I can offer a ride to someone also travelling from my area I would appreciate a ride from someone also travelling from my area
If you are offering a carpool ride, how many people would you be able to accomodate?
REGISTRATION FEE: $795 (CAD)

This retreat has been supported by the Lang Family Foundation and is being offered at a discounted rate.

Please read through our payment options below carefully. If you are choosing the payment plan option, please indicate which option works best for you. You will receive an email from our team after your registration has been processed to set up our next steps together.

Payment Options:
1. Send an Interac e-transfer to info@saranainstitute.org through your online banking system with your chosen amount. Password should be 'meditation'. Complete the form and click 'Submit'. We encourage you to pay by e-transfer or cheque when possible.

2. Pay via credit card or PayPal account using the PayPal options below. Complete the form and click 'Paypal Checkout'.

3. Send a cheque to Sarana Institute directly with your chosen amount. Complete the form and click 'Submit'.
PAYMENT PLAN GUIDELINES: Payment plans reflect a deposit of $200. We encourage payments to be completed before Aug 12th. We are also open to finding a payment timeline and deposit amount that suits your financial needs if you require an alternative to our guidelines. Please indicate which option works best for you:

3 Part Plan - 3 payments of $198 after $200 deposit 5 Part Plan - 5 payments of $119 after $200 deposit An Alternative - A deposit within your means is still required. Maxine will reach out to you to discuss alternative options.
Have you reviewed our cancellation policy? You can do that here.
Please indicate your payment method for either your full payment or your deposit:
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Send an Interac E-Transfer Password should be 'meditation'. Please send your Interac E-Transfer with your full payment ($795) or your deposit ($200) to info@saranainstitute.org after you register.
Free

Mail a Cheque to Sarana Institute Please send a cheque to the address provided at the bottom of this form with your full payment ($795) or your deposit ($200)
Free

PayPal - Full Fee Select this option to pay with your credit card (no account required) or with your PayPal account.
$ 795.00 CAD

PayPal - Payment Plan Deposit PAYMENT PLAN DEPOSIT. Select this option to pay with your credit card (no account required) or with your PayPal account.
$ 200.00 CAD

Total

$ 0.00 CAD
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Yana Retreat Registration