2022 SURYODAYA DIVINE SUNRISE INDIA RETREAT REGISTRATION FORM

    PERSONAL INFORMATION

    Please fill out the following form. All fields with an (*) asterisk are required fields.

    Phone Numbers:


    Gender*

    INSPIRED QUESTIONS - TO GET TO KNOW YOU

    What inspires you the most about Yoga, meditation and/or Indian culture?

    What are you most hoping to see and/or get out of this trip and pilgrimage to India?

    HEALTH-RELATED QUESTIONS - TO KNOW HOW WE CAN BEST SERVE YOU

    Do you have any injuries, mobility issues, and/or lifting issues that we need to know about before the trip?

    Do you have any dietary restrictions and/or other personal information that would be important and/or vital for us to know?

    Are your aware that a valid Covid vaccination card (*or a negative Covid test with a justifiable health/religious reason) will be required to be part of The 2022 Suryodaya Divine Sunrise India Retreat?

    EMERGENCY CONTACTS







    CANCELLATION POLICY

    In the event of cancellation by a paid tour participant...

    • "Early Bird" November 1, 2021. "Take Me To India" and "Save Me A Spot" deposits are non-refundable.
    • 75+ days prior to the retreat date (December 25, 2021 or sooner): Entire payment will be refunded, minus the non-refundable deposit.
    • 50-74 days prior to the retreat date (December 26, 2021 - January 15, 2022): Payments are 50% refundable and the remaining balance is transferable (less the non-refundable deposits) to a future Dr. Eden Goldman or LotusEd, Inc. retreat, training, or workshop. Excluding the LMU YHSX TT.
    • 25-49 days prior to the retreat date (January 16, 2022 - February 10, 2022): Payments are non- refundable and the remaining balance is transferable (less the non-refundable deposits) to a future Dr. Eden Goldman or LotusEd, Inc. retreat, training, or workshop. Excluding the LMU YHSX TT.
    • 0-24 days prior to the retreat date (after February 11, 2022): All payments are non-refundable and non-transferable.

    In the event of cancellation by LotusEd, Inc.

    • In the event of cancellation by LotusEd, Inc., your payment and deposit will be refunded 100%
    • Finalization/cancellation of retreat can occur up to 60 days prior to retreat.
    • Please confirm that the retreat has reached minimum capacity before purchasing your airline tickets, if required.

    YOGA MOVEMENTS, POSTURES, TREATMENTS, AND OTHER ACTIVITIES WAIVER

    As a participant on The 2022 Suryodaya Divine Sunrise India Retreat with Dr. Eden Goldman and LotusEd, Inc., I understand and agree that I am personally responsible for my own health and safety at all times. I also understand that, any form of physical activity, exercise, Yoga, Chiropractic adjustments, and traveling in India (eating, being transported, and staying) carry with them a small inherent risk of injury that includes, but is not limited to: strains, sprains, intervertebral disc compromise, dislocations, skin irritation, acquiring bacteria/viruses/diseases, COVID-19 and all its variants, fractures, trauma (physical or emotional), cardiovascular accidents and insufficiencies, and/or death.

    Especially considering that everything is optional and my participation in all activities and meals are ultimately left up to my sole discretion, in any and all ways, I agree to assume all of the risks associated with The 2022 Suryodaya Divine Sunrise India Retreat, and I hereby agree to consent to voluntarily participate. Moreover, I understand that the facilitator(s), Dr. Eden Goldman, LotusEd, Inc., our tour company, our hotels and retreat centers in India, their officers and employees, nor any of Dr. Eden Goldman’s guest teachers or assistants, will be able to anticipate all potential complications, and as a result, they will not be held liable for any injury, even death, should anything unexpected happen on The 2022 Suryodaya Divine Sunrise India Retreat.

    I also acknowledge that an inherent risk of exposure to COVID-19 and its variants exists in any public place wehre people are present. By checking below, I voluntarily assume all risks related to COVID-19 and its variants and agree not to hold The 2022 Suryodaya Divine Sunrise India Retreat Organizers (Dr. Eden Goldman, LotusEd, Inc., other presenters at The International Yoga Festival, our tour company, our hotels and retreat centers in India, their officers and employees, any of Dr. Eden Goldman’s guest teachers or assistants, and their respective representatives) liable for any illness, sickness, disease or death. What's more, I acknowledge, that the only refundable COVID exemption is if I, or someone in my immediate family, contracts the disease, which will prevent my safe attendance of The 2022 Divine Sunrise India Retreat. Someone suddenly having second thoughts about the trip, and becoming afraid to travel, does not qualify as grounds for a refund.

    Additionally, I have received medical clearance from my healthcare provider to engage in Yoga Movements, Postures, Treatments, and/or Other Activities while on the trip. If, at any time, I decide that I am unwilling to engage in these procedures, I reserve the right to inform Dr. Eden Goldman and any other appropriate person(s) on the Retreat of any Yoga Movements, Postures, Treatments, and/or Other Activities that I feel may injure me and/or put me in jeopardy, and not perform or engage in them. I will inform the teachers, therapists, practitioners, assistants, and/or Dr. Eden Goldman and LotusEd, Inc. of any limitations or medical conditions that may affect my practice or my health, in advance of the India Retreat.

    Moreover, I understand I can stop and rest at anytime and that self-care and rest, when I need it, especially considering our travel plans, will be highly encouraged by the leaders and staff of The 2022 Suryodaya Divine Sunrise India Retreat. While in India with Dr. Eden Goldman and LotusEd, Inc., I agree to treat my body, myself, and others with patience, compassion, care, kindness, and respect during at any and all times.

    My check of the box below indicates that I release Dr. Eden Goldman, LotusEd, Inc., other presenters at The International Yoga Festival, our tour company, our hotels and retreat centers in India, their officers and employees, and any of Dr. Eden Goldman’s potential guest teachers or assistants, from all liability for any injuries sustained, or even death, as a result of my participation in The 2022 Suryodaya Divine Sunrise India Retreat.

    RETREAT PARTICIPANT AGREEMENT

    I understand that it is Dr. Eden Goldman and LotusEd, Inc.'s primary goal, responsibility, and duty to ensure that all participants have a safe and positive travel experience. Furthermore, I understand and agree that guests are expected to behave in an orderly and socially acceptable manner during the event. If I am traveling with a friend or a partner, I appreciate that LotusEd, Inc. will assign us together as roommates. And, in the event I am traveling alone, I appreciate that LotusEd, Inc.’s best efforts will be made to find a compatible roommate of similar age, gender, and geographic origin. Further, I acknowledge that LotusEd, Inc. and The The 2022 Suryodaya Divine Sunrise India Retreat Organizers (Dr. Eden Goldman, LotusEd, Inc., other presenters at The International Yoga Festival, our tour company, our hotels and retreat centers in India, their officers and employees, any of Dr. Eden Goldman’s potential guest teachers or assistants, and their respective representatives) reserve the right to remove any guest from the event if he/she/they behave in a manner unreasonable or disruptive towards the well-being and/or safety of other guests, LotusEd, Inc.'s staff, the staff of our partner venues, or any person related or unrelated to the implementation of the event.

    By acknowledging this agreement, I also understand and agree that The 2022 Suryodaya Divine Sunrise India Retreat Organizers (Dr. Eden Goldman, LotusEd, Inc., other presenters at The International Yoga Festival, our tour company, our hotels and retreat centers in India, their officers and employees, any of Dr. Eden Goldman’s potential guest teachers or assistants, and their respective representatives) will not be held liable for any injury, damage, loss, delay, irregularity, or death that may be occasioned for any reason, including, but not limited to any defect in a vehicle, the acts or default of any company or person engaged in conveying a participant, acts of God, terrorism, acts of war, or detention; delays or expenses arising from quarantine, strikes, thefts, pilferage, force of nature, civil disturbance, government restrictions or regulations, accidents by aircraft, boat, rowboat, train, bus, motor vehicle of kind, autorickshaw or bicycle rickshaw, or in any restaurant, place of visit or accommodation; failure of any means of transportation to arrive or depart as scheduled or changes to transit; missed airline or other transportation connections; and/or additional expenses resulting from changes in exchange rates, tariffs, or itinerary.

    I, the participant, agree to assume all risks associated with the Retreat and agree that no liability will attach to The 2022 Suryodaya Divine Sunrise India Retreat Organizers, their employees or agents, or to any member of the trip in respect of death, personal injury, illness, COVID 19 and all its variants, or delay of the passenger, or for any loss of or damage to the property (including luggage) of the participant during the course of the India Retreat, howsoever caused. By checking the box below on this Retreat Participation Agreement, I, the participant, release The 2022 Suryodaya Divine Sunrise India Retreat Organizers, and/or any entity associated thereof, and their representatives, from any such responsibility or liability, except as herein above set forth. The liability of common carriers is generally limited and, therefore, it is suggested that participants purchase their own cancellation, property damage (including luggage), vaccines, and/or accident insurance. For the benefit of everyone on your trip, Dr. Eden Goldman and LotusEd, Inc. reserve the right to accept or reject any trip participant, at any time without liability. In the event it determines, in its sole and exclusive discretion, that a participant is disruptive to the harmony of the group and the Retreat, in general, such a participant can be expelled without any obligation to pay a refund or any other amount whatsoever. Dr. Eden Goldman and LotusEd, Inc. will have no responsibility or liability for any participant who leaves the India Trip prior to its conclusion or for any activity undertaken by any participant that is not included on The 2022 Divine Sunrise India Retreat Itinerary.

    Lastly, for clarity, The 2022 Suryodaya Divine Sunrise India Retreat costs DO NOT include:

    Roundtrip airfare to and from India, alcoholic beverage charges, any food or drink not included in the package (like lunches and snacks), massage and/or Ayurvedic treatments, overweight baggage charges, hotel and travel incidentals, personal expenses and/or shopping, or passport, visa, and travel insurance fees.

    I have read and accept the Cancellation Policy

    I have read and accept the Yoga Movements, Postures, Treatments, and Other Activities Waiver

    I have read and accept the Retreat Participation Agreement



    PLEASE REGISTER PRIOR TO PAYMENT

    THEN SELECT AND CLICK YOUR PAYMENT AMOUNT BELOW

    Retreat Reservation Options