International Sivananda Yoga Vedanta Center

Yoga Vacation Registration

Phu Chaisai, Chaing Rai, Thailand

Name: ______

Address Permanent: ______

______

City: ______Country______Postal Code______

Telephone: ______

Mobile: ______Email______

Address Temporary ______

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Telephone: ______

How long do intent to stay? ______(Oct 8th - Nov 2nd 2012)

Date of Birth: ______/______/______Sex (M/F) ______

Nationality: ______Identity/Passport No: ______

Visa No: ______Visa duration from ______to ______

Any previous nationality______

Education/Qualifications______

Languages Spoken______

Work Experience______

Illnesses/medications______

Have you attended any of our courses? Please give details including dates and location

______

Have you stayed or worked at any ashrams/spiritual organizations including Sivananda Centers and Ashrams in the Past? YES/NO

Please give details including the director’s name, address, tel. no., dates and email

______

Are you or have you been a member or supported any political party or organization? YES/NO

Please give details______

Have you been convicted of any crime? YES/NO

Please give details______

Why do you want to attend this Yoga Vacation at the Sivananda Yoga Vedanta Center?

______

Contact in case of emergency:______

Address______

Telephone______Email______

Relationship______

TEMPORARY STAFF DECLARATION

I understand that:

The International Sivananda Yoga Vedanta Center (ISYVC) is a monastic order dedicated to the dissemination of the disciplines and philosophy of Yoga, both theory and practice. All aspirants who come to serve, learn and to practice the teachings come with the intention to develop the spirit of renunciation through selfless service. No member or officer (including the president) is allowed to receive a salary or hold any property as beneficial owner thereof.

To further instill the values of selfless service, all aspirants are required to bear the expenses for their own personal items needed for daily living, including any treatment from the Sivananda Institute for Health and items purchased from the Boutique or Sivananda Health Hut.

All students are required to follow the spiritual discipline of the ISYVC: vegetarianism, no tobacco, no alcohol, no drugs, and regular attendance at morning and evening meditation sessions. A student is also requested to participate in daily Yoga Asana Classes. The student agrees to make a sincere effort to practice the ethical and moral disciplines of Yama and Niyama*. Students must work to humbly serve God and our spiritual master.

If the above conditions are not met in the opinion of the Ashram Director or a majority of the Board of Directors of the ISYVC in his absence, the student can be requested to leave the ISYVC immediately without notice.

The undersigned has read all of the above rules and condition contained herein and agrees to honor them and to devote him or herself for the duration of this commitment to the rigorous discipline of a yoga aspirant in the service of the ISYVC pursuant to this agreement.

*Yamas and Niyamas are the ethical and moral precepts of Raja Yoga. The Yamas consist of: Ahimsa (Non-violence); Satya (Truthfullness); Brahmacharya (Continence); Asteya (Nonstealing); and Aparigraha (Non-covetousness). The Niyamas consist of Saucha (Internal and External Cleanliness and Purity); Santosha (Contentment); Tapas (Austerity of mind and body); Swadyaya (Study of scriptures and religious books); and Ishvarapranidhana (Worship of God and ultimate self-surrender).

Signed by:

Student Name ______

Receptionist______

Date______

Starting Date______Expected Date of Departure______