2022 Harmonize Retreat

Welcome!

We are thrilled you have chosen to study with us.

The questions we ask are so that we can get to know about you and make sure that the program is a good fit. We work with each of our students very closely in the classroom and in person. As we enter this journey together, this application is our first window into getting to know more about you and how we can best assist your personal growth. Please feel free to add or adapt answers to include what you would most like us to know about you.

First Name*

Last Name*

Preferred Pronouns*

she/her, he/him/ they/them or any other combination you prefer

Email*

Street Address*

City*

ZIP / Postal*

Country*

Phone Number*

Birthday*

Date

Occupation*

Please upload a photo of you

Where did you first hear about this training?*

If from a friend, teacher or other, please specify

Who is your emergency contact?*

Emergency Contact Relationship*

Emergency Contact Phone Number*

please enter with country code!

What is the main reason you wish to take this training?*

What do you hope to leave the program with? *

How long have you been practicing yoga? Please list the teachers and styles that you've practiced, including any previous trainings*

Are you currently a teacher? If so, for how long?*

Do you currently have a meditation practice? If so for how may years, how often? *

What do you think are/would be your strengths and challenges as a teacher? If you are not currently a teacher, what do you think are your strengths and challenges related to teaching? ( presence, communication, holding space, relating, voice)*

Name a time when you overcame a particular challenge. What was the challenge and what allowed you to overcome it?*

What are three things that you think are unique about you, it could be an accomplishment, an injury, a special talent, something that nobody knows, things that when you think about yourself, make you "you"?*

What is the reason that you want to teach yoga? * If you don’t want to teach, is there a reason why you have chosen this specific training and how will it inform your life, work or practice?*

How do you see yoga as an avenue of discovery? And how do you see its influence affecting the world?*

Do you have any injuries or particular challenges that we should know about?*

Anything else you would like to share about yourself ahead of the training? *

Please choose between vegan and vegetarian meals*

vegetarianvegan

Any food allergies we should know about?*

Are you proficient in English, both written and oral?*

yesno

Do you have any pre-existing condition(s) that we should be aware of (physical or mental issues, pregnancy or recent miscarriage, etc.)?*

Do you have any conditions that may need medical attention during the training?*

Are you currently taking any medications? And if yes, which kind*

It is the responsibility of each participant to book their flights and to find out about flight schedule changes and Covid-19 regulations relevant for this trip.

Travel Insurance is strongly recommended.

Cancellation refund requests for in-person & hybrid offerings

Cancellation 90+ days - 100% of the rate (minus deposit) will be refunded or 100% credit voucher towards a future event within 24 months of your initial event start date
Cancellation 60+ days: 50% of the rate (minus deposit) will be refunded or 100% credit voucher towards a future event within 24 months of your initial event start date
Cancellation within 30+: 25% of the rate (minus deposit) will be refunded or 50% credit voucher towards a future event within 24 months of your initial event start date
Cancellation less than 30 days prior to retreat start: no refund

Credit Vouchers are non-transferable and valid towards a future event within 24 months of your initial event start date

Credit vouchers can only be used for our 200h & 300h Training Modules and Immersions hosted directly by Embodied Flow™ & Tara Judelle LLC

EVENT CANCELATION:

In the unlikely event that the program is canceled, full payments will be refunded.

Travel expenditures will not be reimbursed, and are considered each individual's own liability.

Travel Insurance is strongly recommended.

Liability Waiver:

Embodied Flow™ & Tara Judelle LLC offer a variety of yoga retreats and trainings internationally. Some of the programs on this training require physical exertion, which may be strenuous and may cause physical injury. We recommend that you consult your physician before beginning any program. Students must listen to their own bodies and work within their own limitations. If any movements hurt or are uncomfortable; it is your responsibility to never take any exercise to a level of discomfort or pain.

Notice is hereby given that all arrangements made on behalf of participants are made by the organizers on the sole condition that the organizers shall not be held responsible for any injury, death, accident, illness, delay, loss, damage, act of negligence, or irregularity. Tara Judelle acts only in capacity as agent for the participant in all matters connected with hotel accommodations, sight-seeing tours, transportation and other travel expenses, whether by air, rail, bus, motorcar, boat or any other means and as agent holds itself free of responsibility for any damage occasioned by any cause. The undersigned hereby also agrees to indemnify and hold harmless Tara Judelle or any other instructors or facilitators, from and against liability, damages, costs, loss or expense (including without limitation, attorney’s fees) arising out of any bodily injury, illness, or loss at any time sustained by the undersigned.

Talent Release:

I hereby give permission in perpetuity and without fee to Tara Judelle, to use photography and video footage including copies thereof in which I appear in picture and sound, worldwide in any media or format for Tara Judelle & Embodied Flow™ trainings, advertising, and related promotional purposes. I acknowledge that Tara Judelle owns all rights to the footage and any copies or format thereof and my participation confers upon me no rIghts of use, ownership or copyright. I appear voluntarily and there is no existing restriction or obligation that would prevent me from appearing. I release Tara Judelle, Embodied Flow™ and their employees, agents, and assigns from all liability for any claims by me or any third party in connection with my participation

MAKE-UP POLICY
For every four hours of class time missed, you will be required to make up the material with one private session. Material will be made up privately with a certified teacher at an additional cost. It is the students’ responsibility to keep up with their attendance requirements and to make up missed sessions. If you miss more than 20 percent of the course you will need to repeat parts or take an equivalency in order to receive your certification.

I understand that*

$500 non-refundable deposit for any rate is due when my application is accepted. Full payment for the Early Bird Rate is due by June 1st and Standard Rate by August 1st, 2024

I understand that*

in order to receive a 200h Yoga Teacher Training Certificate, I will complete the pre-requisite reading, join the live online weekend September 27-29, 2024 and will finish the additional 28 hour pre-recorded Material by November 30, 2024

I understand that*

for every 4 hours missed, I will need to make up with a 1 hour private session at additional cost to receive a 200h Yoga Teacher Training Certificate and that missing 3+ days of the training may result in loss of certification

I have read & agree to the above Cancellation Policy, Liability Waiver and Talent Release*

yes

Please Sign*