Option 1: Merge 50 HRS Intensive Accommodation Booking Option 1: Merge 50 HRS Intensive Accommodation Booking Price (This price is included transfer fee from Payapal) Sharing Accommodation: $300.00 USD per person (2 students in one room) Private Accommodation: $600.00 USD What program are you expecting to attend ?What program are you expecting to attend ?*50Hrs Merge Yoga Holiday in Bali JulyPersonal InformationName* First Name (required) Middle Name Last Name Age*Gender*MaleFemaleMobile Phone*Email* How would you like to make the payment ?How would you like to make the payment ?*PaypalBank TransferPaypalWould you like to make the Paypal payment now?*YesNo50Hrs Merge Yoga Holiday in Bali July*Sharing Accommodation $300.00 USD per person(2 students i one room)Private Accommodation $600.00 USDExpected date of your payment ?* Date Format: MM slash DD slash YYYY Amount of your deposit ?*Name of Bank : KASIKORNBANK Swift Code : KASITHBK Bank Address : 1 Soi Rat Burana 21/1 Rat Burana Road, Khwaeng Rat Burana, Khet Rat Burana, Bangkok, Thailand, 10140 Fax: +6628888882 Tel.: +6628888800 Account Number : 3912855308 Account name : Kunkanit Phrombut Bank Branch : Central Rattanathibed *** Kindly e-mail us a photo or scanned copy of your transaction receipt. Bank TransferTerms and requirementsI am aware that the participation in the physical activity of yoga may result in accident or injury. I assume the risk and responsibility with the participation in this Yoga Teacher Training Program. I release all Its Yoga Satellite teachers and staff from any and all claims of injury and damages caused by my doing, but not limited to, any of the following: misuse of the surroundings, performance of any asana, or any ill use of equipment. I confirm my complete release of all liability for Its Yoga Satellite staff and also including fellow students present. I hereby state that I am in a good health and I understand the intensity of physical participation I have committed to. I confirm that I have no existing mental and physical conditions that would either prevent me from participating or disrupt the delivery of the course. I confirm that I will advise the teachers upon application of any preexisting conditions (both physical and mental) that would affect my performance in the course of study. Any medication that I am taking or have previously taken for such conditions will also be disclosed to the directors of the course, upon application. I fully understand that once I fulfill all the requirements of the Teacher Training Course, I will receive a Certification of Completion. I understand that the yoga teachers and staff reserve the right to cancel my enrollment for any reason and at any time during the course. These reasons may include any inappropriate or unethical behavior which may violate instructions and requirements of the course. I completely understand and agree that there will be no refunds once the course has commenced. However if by any reason I cannot attend the course, and I provide at least 30 days advance notice, my payment may be transfered to any other courses whitin one year after the payment date. If I want to attend another course after the expiration date, I will be required to pay the full amount.Terms and requirements* I have read and accept the above terms and requirements. PhoneThis field is for validation purposes and should be left unchanged.