Registration form to print out

name..........................................................................

address.....................................................................

.................................................................................

phone/fax.................................................................

email........................................................................

date of birth............................................................

accommodation for the first 2 days desired ? yes/no
if yes O single room O double room O dormitory

Day care for kids desired ? yes/no

Please send your registration to:
Gesine Glaeser
Alte Eppelheimer Str 20
69115 Heidelberg

All of the workshops as well as any optional events are limited in space. We urge you to register early.

Please send a check of 50 $ US with your signed registration form. Please have the remaining amount of 150 $ US ready in cash or check at the beginning of the course. All changes or cancellations must be made via mail or fax (not email). Refunds minus a 20 $ US processing fee will be made prior to December 31, 2002. No refunds will be made after this date. Substitutions are welcomed.

Course fees include daily: a 90 minute Yoga class, a common meditation and one typical South Indian spicy and vegetarian meal.

I am fully responsible for myself, including my healthy disposition. I exempt the course organizers and coordinators from any liability, obligation, or duty whatsoever.

Date/signature...........................................................