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 INFORMATION

Name:

Street Address:

City: State: Zip Code: Country:

Daytime Phone: Evening Phone:

E-mail:

Company: Marital Status:

Occupation: Gender:

Age:

PHYSICAL HEALTH

Under physician’s care: yes no
If yes, for what reason:

Do you have Epilepsy? yes no

Do you have Diabetes? yes no

Are you currently seeking mental health care? yes no
If yes, for what reasons:

PHYSICAL HEALTH CONTINUED:

Please list any current medications:

Have you ever been hospitalized? yes no

If yes, for what reason:

Do you have any dietary requirements?

What is your past history with yoga practice? Please list any past workshops or intensives with Rolf Gates:

INTENTION SETTING:
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 this 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. You may wish to add an additional page.

ROOMING PREFERENCE (circle one)

$1450 The Tentalows combine the adventure and feel of the outdoors with the amenities of a room. These luxury tents have carpeted floors, very comfortable beds (the same as in the other accommodations), electricity, space for your clothes and plenty of fresh mountain air. The shared bathrooms are set in lush gardens, are very attractive, and are conveniently located nearby.

$1530 The Standard Rooms are comfortable, colorful and cozy surrounded by lush gardens. The shared bathrooms are only a few steps away. Deluxe


$1680 The Deluxe Rooms are the A-Frames and Vistas. They each have their own baths and a private balcony with stunning views.


$1830 The Super Deluxe Rooms are the Villa, Kivas and Tri-levels. These accommodations have plenty of space and comfort, offering a living area, private bath and balcony.

$2100 The Suites:
The Lila Suite – is a gorgeous suite with a huge private balcony, vaulted ceilings, and a king-size bed.

The Zendo Suite – features a wrap around balcony, and huge picture windows which allow for magnificent views. It also features an outdoor shower, which makes it a most special place to stay.

(All prices are based on double occupancy)

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.

Contact Mariam Gates with any payment inquiries or any other questions regarding the retreat.

Please mail this registration form with payment to:

Gates Yoga
PO Box 192
Tarrytown, NY 10591

Namaste!