2026 Shivabalayogi US Retreat Registration Form

Please note retreat location:

Ganesh Place Ashram
594 Ray Hill Rd.
Mills River, NC 28759

Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState

Zip CodeCountry

Phone Number

Area CodePhone Number

E-mail

Emergency Contact

First NameLast Name

Emergency Contact Phone Number

Area CodePhone Number

Please register as soon as possible. This will greatly help us in preparing for the proper number of attendees.

Retreat registration fees:

Full Retreat (3 full days + 1 half days)*	$445 USD
Morning session only**	$70 USD
Evening session only	$55 USD

*Full Retreat includes vegetarian lunch Thursday through Sunday; does not include lodging.

**Includes vegetarian lunch

Media Release Consent

Please choose one:

Choose your preferred sessions:

Rows	Morning	Evening
Thursday, June 18
Friday, June 19
Saturday, June 20
Sunday, June 21 (Homa, morning only)

Total Cost1

USD $

Payment Method

Be sure to hit to the SUBMIT button below to complete your registration. Mail your check only upon submitting this form online.

Please make check payable to: SBY Charitable Trust

Mailing address for check only:

Retreat c/o Ganesh Place

PO Box 953, Fletcher, NC 28732

Questions? Call Carol 919-624-1932; or e-mail ganeshplace@gmail.com

USDDescription