Rolf Gates

Rolf Gates: master yoga teacher & author

For more information, please contact Program Coordinator, Mariam Gates at
(617) 504-6505 or mariam@rolfgates.com.

The Vinyasa Intensive with Teacher and Author
Rolf Gates

Featuring Johnny Gillespie, Plexus Fitness & Empowered Yoga

January 26th-31st, 2009 Costa Rica

This week is an “intensive” and therefore is intentionally challenging. It is ideal for those in their first couple years of practice as well as more seasoned practitioners. Six months of regular vigorous practice is suggested. For those with less than 6 months experience, we will offer support regarding how to best prepare.

CONTACT INFO

First Name:			Last Name:
Street Address:
City:			State:
Zip Code:			Country:
Daytime Phone:			Evening Phone:
Email:

Company:			Marital Status:
Occupation:			Gender:
Age:

PHYSICAL HEALTH

Under physician's care? Yes No

If yes, for what reason?

Epilepsy? Yes No

Diabetes? Yes No

Are you currently seeking mental health care? Yes No

If yes, for what condition?

Please list any current medications:

Have you ever been hospitalized? Yes No

If yes, for what condition?

Do you have any dietary requirements?

What is your past history with yoga practice? Please include any previous workshops or intensives with Rolf Gates.

SETTING YOUR INTENTION
Please take a moment to write down what you want out of this intensive experience. There is a power in writing down goals, sharing them and then referring to them often. It is suggested that you do the above practice in preparation for this week. At the very least, please share your goals for this experience with us now so we may better support you during the intensive.

ROOMING PREFERENCE (subject to availability)

	The Tentalows $1450

	The Standard Rooms $1530

	The Deluxe Rooms $1680

	The Super Deluxe Rooms $1850

	The Suites $2100

PLEASE NOTE: All prices are based on Double Occupancy.
Some single rooms are available for an additional charge.

Please note that upon submission of your application registration you will be charged a $500 non-refundable deposit. The remainder of your balance will be charged on October 15th, 2008. Contact Mariam Gates with any payment inquiries.

Refund/Non-Refund Policy:
$500 is non-refundable upon registration. Cancellations must be made 60 days before the retreat begins. We can not offer any refunds for cancellations within 60 days of the event.