Yoga Association of Victoria

From time to time photographs may be taken for the purpose of publicity.
I agree to take full responsibility/care and control of children in my care

Personal Details

Given Names*

Surname*

Gender*

Spiritual Name (if applicable)

Address*

Suburb*

Postcode*

Phone*

Email*

Childrens Details (If Required)

Children Given Names

Surname

Gender

Spiritual Name (if applicable)

Date of birth

Given Names

Surname

Gender

Spiritual Name (if applicable)

Date of birth

Enrolment Form

Please Check in Practical Details for what to bring & other handy hints

Course / Retreat Name*

Arrival Date*

AM/PM*

Departure Date*

AM/PM*

Accommodation Type

Bedding Required*

Payment Being Made By*

Payment In Full*

Card Type*

Card Number

Card Exp

Cancellation Policy*

Click Here To View Cancellation Policy

Rocklyn Yoga Ashram, operated by Yoga Association of Victoria Inc. as an autonomous entity,
remains committed to the tradition of Satyananda Yoga and continues the teachings under
the banner of Satyananda Yoga by arrangement with the IYFM.