Mandala Yoga Ashram - Stay Booking eForm

Please click on the grey boxes to complete the form. Email your completed form to the ashram and pay your deposit to secure your booking.

Dates you wish to stay:

Planned arrival time: Departure time (if known):

Surname: First name:

Spiritual name: male female

Address:

Country:Postcode:

Telephone: Mobile:

Email:

Check the box if it is your first visit to the ashram

1. Please explain briefly why you wish to stay at the ashram:

2. Please outline your experience of yoga (including meditation) and any other spiritual practices:

3. Do you have any medical or health conditions that we need to take account of in planning your accommodation, yoga classes, and/ or karma yoga? Yes No If yes, please provide details:

4. Do you have any food allergies? Yes NoIf yes, please provide details:

5. If you are staying for more than 2 weeks:

a) Do you have particular talents or skills which you may be able to share to benefit the ashram? e.g. gardening, cooking, maintenance, sewing, IT.Yes No If yes, please provide details:

b)Are you currently a yoga teacher? Yes No

If yes, please provide brief details of your qualifications and experience:

Ashram rules

The main rules of the ashram are:

  • You will be asked, by the Ashram Manager, to carry out karma yoga activities (e.g. cooking, gardening, maintenance, housework) as part of your yoga practice here.
  • No alcohol or non-prescription drugs are to be taken.
  • Smoking is not allowed within the ashram grounds.
  • You will be required to comply with the ashram’s health and safety requirements.
  • No candles or incense are to be burned.
  • No meat or fish are to be eaten within the ashram grounds.
  • Inappropriate behaviour will not be tolerated and such behaviour may result in you being required to leave the ashram.
  • If you have any problems, your first line of communication is with the Ashram Manager.

Declaration

I declare that the information I have provided is, to the best of my knowledge, complete and accurate. I agree to abide by the ashram’s rules and that the Ashram Manager has the right to require me to leave the ashram if I have given false information or if I fail to comply with the ashram rules.

Name: Date:

To make your payment:

All deposits are non-refundable (unless the dates you wish to stay are not available).

Payment can be by:

  • Credit / debit card - in person or over the phone. For security reasons, do not send any credit card details via email. To post your receipt to a UK address by registered post will cost an additional £1.50. Please contact the ashram for the charge for elsewhere in the world. Alternatively we can keep your receipt until you arrive at the ashram.
  • Bank transfer - contact the ashram for the bank account details.
  • Cheque payable to Mandala Yoga Ashram (from a UK bank account only).
  • Cash - in person only.

Please make your payment in Pounds Sterling.

TOTAL COST
(£) / DEPOSIT
(£) / NUMBER OF DAYS/ WEEKS/ MONTHS / AMOUNT PAYABLE NOW
(£)
Daily: / £30 / £30
Weekly: / £180 / £75
Monthly: / £495 / £195
Donation for Ashram Projects:If you are able to add adonationto your payment then we would be very grateful. If you are a UK tax payer your donation will be worth more to us if you Gift Aid it by completing our Donation Gift Aid Declaration Form - available from:
Total amount paid now:
Paid by: (tick the box) Bank transfer Cheque Credit card Cash
Balance to pay on arrival:
For office use only - date payment received:

Check the box if you would like to receive emails periodically about ashram courses, events and news. We will not use your email address for any other purpose or make it available to third parties.

Check the box if you would like to receive a copy of the ashram Newsletter at the beginning of each year.

If you are currently a yoga teacher and would like to receive copies of our Newsletter at the beginning of each year to give to your students, add here how many copies you would like:

Mandala Yoga Ashram

Pantypistyll, Llansadwrn, Llanwrda, Carmarthenshire, SA19 8NR, Wales (UK)

Tel: +44 (0) 1558

Revision 1 – 11 May 2014