Please Print, Sign, and Mail 'Registered' ALL Forms Below.
Costa Rica Yoga Retreat
Playa Potrero, Guanacaste
Feb 12 – Feb 17, 2019
Participant's Agreement, Terms and Conditions
Full Name: ______________________________________________________
Mobile Phone: (____) ____________ Home Phone: (____) ____________
City: _____________________________ State: ______ Zip Code: _________
Emergency Contact Info: Name_____________________________________
Relationship:___________ Phone: (_____)___________ Email: ____________
Travel Insurance Info: ______________________________________________
A $250.00 non-refundable deposit (check, cash, PayPal or credit card) per person will secure space on a first come basis. When using PayPal, do not use 'services or goods', this will charge the host and you will be required to pay for those charges for full payment of registration.
This retreat is for adults 18 years of age or older and children 'age 11 and above' must be accompanied and supervised at all times by the parents/guardians.
The total cost for is based on accommodation selection.
The participant is responsible to look for his/her own roommate/s otherwise the participant has to pay the full package.
________ Deluxe: Private Occupancy = $ 2,248.00
________ Deluxe: Double & Triple Occupancy = $ 2,498.00 & 2,698.00
________ Standard Room: Single Occupancy = $ 1,698.61
________ Standard Room: Double Occupancy = $ 1,908.61
________ Family Suite (2 Adults with 11 year old) = $ 2,036.00
Roommates will choose their own beds.
Trip Price Includes:
Accommodations for 6 days/5 nights
Yoga: Yoga (optional)
Meals: Breakfast Buffet Daily
Village Walking Tour
Airport transfers in Liberia International Airport ONLY: Shuttle/Bus service to and from hotel to Liberia Int'l airport
Full Day Tour 'Canyon de la Vieja' with Lunch
Does Not Include:
Flights both international and domestic
Events and excursions and all other outdoor activities not stated in the itinerary
Yoga Mat or Props
Dinners, Lunches, Snacks, Beverages
Transportation/ Fares not stated in the itinerary
Cancellations / Refunds:
The following outlines cancellation policies:
$250 Non-refundable deposit
If cancellation takes place on or before September 15, 2018 any payments made will be refunded minus your deposit.
If cancellation takes place on or before October 15, 2018, 50% of the trip price will be forfeited including the security deposit.
If cancellation takes place on or after October 30, 2018, 100% of the trip price will be forfeited.
nKCYOGA reserves the right to make any changes deemed necessary by our team, trip leaders, teachers or partners. In the rare case of a cancellation on our part, we will offer a refund of your funds.
We strongly recommend all participants to purchase travel insurance.
All prices are per person and include a non-refundable deposit of $250. Full payment is due on October 30, 2018. Deposit payment is due on or before August 15, 2018.
Please note: If the participant arrives late to retreat due to flight delays and other reasons or leaves prior to its conclusion, refunds will not be made for any unused portion of the retreat. No refunds will be made for meals, yoga classes or other activities that the participant misses. NKCYOGA and its partners are NOT responsible for delayed or missed flights or cancellation both domestic or international and that you are responsible to contact the airlines and make arrangements.
It is recommended for all participants to purchase travel insurance. Your travel insurance should provide coverage against trip cancellation or interruption, personal accident, illness, death, medical expenses and emergency repatriation.
Passport & Visa:
PASSPORT IS REQUIRED. VISA MAYBE REQUIRED.
Non-U.S. citizens must consult with appropriate consulates to determine if any visas are needed.
WAIVER OF LIABILITY
I acknowledge that a certain level of physical health, stamina, longer hours spent overseas including travel time and being in an unfamiliar place will be required in this retreat.
I am voluntarily participating in these activities with knowledge of the risks for which I voluntarily assume.
As consideration for being permitted to participate in yoga classes, in other activities such as excursions, outdoor and indoor adventures, tours, and all non yoga class related events, I hereby agree that I, myself, my assignees, heirs, guardians and legal representatives will not claim against, sue or attach property of affiliates to nKCYOGA / Hegina A Fuller for injury or damage resulting from my participation in any lesson/class, event or activity.
I hereby release Hegina A Fuller and all its agents and heirs from any and all such actions, claims or demands that I, my assignees, heirs, guardians and legal representatives now have or hereafter may have for injury or damage associated with my participation in ANY class, workshop, event, tour, activity and other offerings of this yoga retreat and for all claims, injury damages or liability suffered by me in connection with my participation at any location where I have participated.
The undersigned participant agrees that Hegina A Fuller and its representatives shall not be held liable for any injury, damage, loss, delay or irregularity for any reason, including but not limited to any defect in a vehicle, acts or default of any company or person engaged in conveying a participant, natural disasters or unforeseen events, delays or expenses arising from such occasions.
Participant's Full Name: _________________________________________________________
Address: _______________ City: ________ State : _____ Zip __________
Email Address: _______________________ Phone: __________________
PARENT OR GUARDIAN ADDITIONAL AGREEMENT: Must be completed for participants under the age of 18.
In consideration of _________________________ (PRINT minor’s name) being permitted to participate in this activity, I further agree to indemnify and hold harmless Releasees from any claims alleging negligence which are brought by or on behalf of minor or are in any way connected with such participation by minor.
(If notarization is necessary, please sign and stamp this side of form.)