Application Form

(* required information)

* I would like to enrol on the course:
Select a retreat May 16 - 26, 2013: 10-days May 26 - June 8, 2013: Prana Vidya, 14-days June 9 - 22, 2013: 14-days June 23 - July 6, 2013: 14-days July 7 - 20, 2013: 14-days July 20 - August 18, 2013: Kriya Yoga, 1 Month Sept. 1 - 14, 2013: 14-days Oct. 10 - 20, 2013: 10-days Nov. 15 -17, 2013: Chakra Weekend Dec. 19 2013 - Jan. 1 2014: 14-days Jan. 2 - 12, 2014: 10-days Jan. 22 - April 19, 2014: 3-Months Sadhana

*Rebate:
No Student or 25 years or younger Unemployed Pensioner

*First name:

*Last name:

c/o (Write c/o + name)

*Address:

*Postal code:

*Town:

*Country:

State:

*Phone (Only Cell Phone? Use this field):

Cell Phone:

Fax:

*E-mail:

Please confirm your e-mail address by writing it once more:

*Sex:
Male Female

*Date of Birth: Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month Jan Febr March April May June July Aug Sep Oct Nov Dec Year: (Write e.g. 1976)

*Occupation/Profession:

*I understand:
English, Swedish, Danish, German

*Have you practised yoga before (what kind and for how long)?:

*Have you meditated before (what kind and for how long)?:

*Do you have any allergies or any other physical or mental health problems?:

* Do you use any medication? Please list:

*I travel to Håå:
by car.
by train to Älmhult (If you wish, we can pick you up in Älmhult for 80 SEK).
I have not decided yet, I will let you know at the latest 7 days before the course.
by other means of transport, please specify:

No extra costs:
I am bringing my own towel and bedding (linen, comforter, pillow).
I do not wish to reserve any special room.

Extra costs, I would like to reserve:
Single room with a private bathroom, 200 SEK extra per night (for the 3-month course only 126 SEK).
Double room with a private bathroom, together with (name):
119 SEK extra per night per person (for the 3-month course 63 SEK).
Towel and bedding (linen, comforter, pillow) during the course 300 SEK (during the 3-month course 350 SEK per month).

Children:
I would like to bring 0 1 2 3 child /children. Price: half of the full course fee per child. Application deposit per child: half the adult application deposit.

Name(s) and age(s) of the child/children:

Other:
You will need a nose cleansing pot of plastic (neti pot) and a rosary/a string of 108 beads (mala). They are available at the course center.
The neti pot Nose Buddy, 165 SEK.
Mala, 150/425 SEK.
Horse back riding, each tour 80 SEK
Laundry: wash 20 SEK, dry 20 SEK.

Other information or questions:

For our statistics: How did you get to know about this course?
Recommendation
Advertisement on Google (Adwords)
Through one of our town-schools
Previous stay at Håå
Other:

Confirmation letter:
Please send me the confirmation letter by E-MAIL Please send me the confirmation letter by POST Please send me the confirmation letter BOTH by E-MAIL and POST.

Newsletter:
We offer newsletters with information about upcoming courses etc. The newsletter will be sent to your e-mail address approx 4 times per year.
Yes, please send me newsletters by e-mail I already receive the newsletter, please keep on sending it. No thanks, please do not email me any newsletters.

As a guarantee for my participation in the course I have chosen, I send you the application fee. I understand that the application fee is non-refundable if I should change my plans.

After receiving acceptance confirmation from the school, I will transfer the enrolment fee to:

Name and address of bank
Nordea, SE-105 71 Stockholm, Sweden
The accounts IBAN: (International Bank Account Number in Europe)
SE8595000099602607386030
The accounts SWIFT/BIC-address:
NDEASESS
Account holder:
Scandinavian Yoga and Meditation School

I understand that the course fee is the same no matter how long I am on the course. The full course fee is considered an entrance fee, and I understand that I therefore will not get any money refunded regardless of when and why I have to leave the course.

Agreement: I understand that it is a condition of participating in any course at the Scandinavian Yoga and Meditation School that I make the commitment not to pass on or to teach anything about yoga and meditation on the basis of what is taught on the course. In order to be competent to express myself about these yoga and meditation techniques or to teach them to others, I require a complete yoga teacher education at the school.

I hereby declare that I have read the whole brochure about Håå Course Center or the equivalent on this web site – and if I choose to participate in the Prana Vidya Course or the Chakra Weekend – that I have as well read the information about these courses. I will participate under the conditions stated there.

* Electronic signature (Your name):

Important!

When you press the Submit Enrolment button, a copy of the page being sent to us appears, with all the information you have typed in. If this does not happen, we may not have received your enrolment. Press the Back button, print out your enrolment and either fax +46 372 55036 or mail it to us. Also, please contact us by phone +46 372 55063 or e-mail.

If your enrolment has not been confirmed within 8 days, please contact us by phone +46 372 55063 or e-mail.