Name *

First Name

Last Name

Phone Number *

(###)

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Emergency Contact Name *

First Name

Last Name

Emergency Contact Phone Number *

(###)

###

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How did you hear about this course? *

Internet

Newsletter

Classes

Poster/Flyer

Friend

Other

What is your preferred way of sitting for meditation? *

Select

Floor

Wall Support

Chair

For what reason are you intending to study with Shantarasa? *

To teach

To deepen personal practice and understanding

For professional development

Select your training *

Adelaide - Yoga Psychology & Meditation

Adelaide - 500-Hour Yoga Teacher Training

Adelaide - Pre-Postnatal Yoga Teacher Training

Adelaide - Applied Ayurveda

Adelaide - Yoga Nidra Training

Payment method *

DIRECT DEPOSIT (Preferred Method) Account name: Shantarasa School of Yoga & Meditation BSB: 015 650 Account number: 478 269 594 *Please note your name as the payment reference Please send payment confirmation to admin@shantarasa.com If you would like to pay by credit card there is a 2% surcharge. Please call 0407 392 666 to make a credit card transaction.

Pay in full $1100 (bank transfer)

Payment Plan 1 | Deposit $500 + Instalment $600 before training commencement

Payment Plan 2 | $100 x 11 weekly payments

I want to pay by credit card

PAYMENT, REFUND & COURSE DEFERMENT POLICY *

• Non-refundable deposit $500 to secure training registration / with course deferment option • Fees are to be settled minimum 14 days prior to training if paying in one payment • Course refund available up to 14 days prior to course commencement less non-refundable deposit • No refunds after course commencement (course deferment will apply). In some situations where circumstances are unavoidable or extenuating some remittance can be negotiated. • Deferment of course or intensives available in consultation with course administrators

I agree to payment and refund terms and conditions