Registration Form - Somah Journeys

Application Form

Reclaiming Balance: the Yoga of Cycles & Rhythms 100 hour Yoga Teacher Training

The Yoga Barn, Ubud, Bali

06 October 2021 - 16 October 2021

Early Bird End Date: June 17, 2020

Please answer the following questions in full. The information you are providing us is strictly confidential, seen only by Somah facilitators and the admin director of our events. This allows us to adequately assess your suitability for the Yoga and Medicine Immersion and to support you as well as possible if/when you are accepted.
Applicants are selected based on life experience, commitment to personal practice, and intent—the latter being expressed in the necessary self-reflection involved and the candidness of your answers.

Personal Information:

First Name *

Last Name *

Email *

Area Code *

Phone Number *

Address *

Date Of Birth *

Country of Origin *

Country of Residence *

Gender *

Male Female Other

Occupation

What language is your mother tongue, if not English:

Profile Photo

Emergency Contact Details:

First Name *

Last Name *

Relationship to you *

Area Code *

Phone Number *

Email *

Further Information :

How you heard about us? *

What other training/courses have you undertaken in the field of personal growth, nature and/or yoga programs in recent years? *

Can you offer us a greater understanding of the wisdom you may have gained from these previous experiences that you will be carrying into this journey? *

Yoga and Meditation :

Please describe your personal yoga/meditation practice (if any) such as consistency, duration, style etc., and what led you to it. *

How has your practice benefitted you? *

Are you currently teaching yoga or meditation? If yes, please share some details about your teaching practice (i.e.: style, population, venue, how long have you been teaching, etc.) *

Do you have any experience with Yoga Nidra? *

In your opinion, what is Yoga? *

Medical history & information:

Do you have a physical, mental or emotional history of challenges that could possibly be a factor during the course? More specifically, have you had any surgeries?
How was your own birth? (i.e. premature, cesarean, difficult birth, etc.)
Have you experienced miscarriage and/or abortion?
Are you a military veteran or worked as first responder or in any other work where secondary trauma could be applicable?
Have you experienced high velocity accident?
Please describe to the best of your ability. *

Have you ever experienced or been diagnosed with any mental health conditions? (ie. specific diagnoses, anxiety, depression, suicidal thoughts, Asthma, PTSD, Low or High Blood Pressure, cramps, menstrual issues, chronic fatigue, fibromyalgia, pregnancy, headaches, etc.) that we should know about that could impact your ability to generally participate in the program? If yes, please give details of when, duration and current status of the condition. *

Are you currently in the care of a medical or natural health care practitioner? If yes, please describe: *

General :

Do you have any issues/challenges we should know about that have not been addressed in this questionnaire? If yes, please explain. *

Finally, please express what expectations you have, if any, regarding this course? *

What primary resources do you rely on before and after this immersion? Will you have access to a support network straight after this immersion? *

My Responsibilities

Thank you for taking the time to complete this comprehensive questionnaire.

In closing: We are very excited to share the very best of what we have learned with you, with great humility and respect. Please be mindful of the challenging nature of the course. We do our best to hold space and support you through your process, but you, too, will be asked to practice self-responsibility, ownership of your emotions, thoughts, and actions, to consistently engage in self-study and self-analysis as you evolve and contribute to the overall group experience. Together we will inspire one another, learn together, and share the ancient wisdom these extraordinary agents of transformation have to offer.

I, the undersigned, take full responsibility for my health during the immersion. I agree to email you regarding any new medical issues that arise prior to the commencement date and after completion of this application.

I, the undersigned, acknowledge the intensive nature of the event I am applying for. If accepted, I understand that I am required to fulfill my obligations as a student to the satisfaction of the director and staff in order to remain on the course, and that my tuition payment does not guarantee that I will receive certification from SOSA I Somah Journeys. Acting in a respectful manner and otherwise conducting myself with maturity will insure that I successfully complete the training.

If you have any additional questions regarding this program, please feel free to ask them here or email us directly at info@somahjourneys.net. *

Electronic signature, please type full name: *

Signature: *

Clear

Payment Details :

	Regular Price Accommodation Not Included	$1950
	Deposit	$500
Total Amount:		$

Payment Options

Stripe(Credit/Debit Card)

Paypal

Transfer Wise

Direct Bank Transfer

Please contact us directly at info@somahjourneys.net if you wish to make a direct bank transfer.

Note: Deposit is non-refundable.

Click Here To Check Terms and Conditions & Refund Policy

TERMS AND CONDITIONS

The cost of the training / event includes all classes, workshops, educational materials and special events pertinent to the duration of the program
A non-refundable deposit of $500 is required to secure your registration
The deposit will only be refunded if the application is not accepted to the program
The remaining balance must reach Somah Journeys | School of Sacred Arts 1 month prior to training. If not, your place may be offered to someone on the waiting list and you will forfeit the deposit
The final amount received by Somah Journeys | School of Sacred Arts must be the exact course fee. You are responsible for any additional fees (i.e. transfer and/or exchange fees) that the bank charges
Somah Journeys | School of Sacred Arts and all associated organisers, teachers, facilitators, venue owners and management are not responsible for any personal injury or illness. We encourage you to come prepared with your own health and travel insurance
A waiver must be returned before training / event commencement date

CANCELLATION AND REFUND POLICY: Due to the logistics required for planning an international event our cancellation and refund policy is as follows:

The deposit is non-refundable, but is transferrable to a later event within a 2 year period of the event date
Tuition (less deposit and transaction fees) can be refunded in full, up to 4 months prior to the commencement of the event
50% tuition (less deposit and transactions fees) can be refunded up to 8 weeks prior to the commencement of the event
We regret that we are not able to provide any refund beyond 8 weeks prior to the event.
Any refunds that have been negotiated on a one-to-one basis, must be claimed within one month of receiving confirmation of the refund OR any prior agreement is null and void and funds remain with Somah Journeys | School of Sacred Arts
In the unlikely event that the course you have registered for is cancelled, your money and your deposit will be returned minus an administrative fee of USD $100
Extenuating circumstances may be considered
*Please note that this refund policy pertains only to the cost of the actual event. Arrangements, agreements, contracts and other obligations regarding accommodations, flights, travel documentation (including visas and/or passports) etc. are the responsibility of the participant / applicant. If the initial booking was made through an external party such as Book Yoga Retreats / Tripaneer / Yovada etc, it is the participants own responsibility to inform themselves of the booking platforms terms, conditions and refund policy.