Release and Renewal Edmonton Retreat Registration

Registration form for the Release and Renewal Yoga and Ayurveda Retreat on Saturday October 11th at the Providence Renewal Centre in Edmonton, Alberta.

First name

Last name

Gender

Date of birth

Address

Phone Number

I confirm I am registering for:

Release and Renewal Edmonton Alberta Retreat - $250

Release and Renewal Retreat early bird pricing (paid by September 24, 2026) - $190

How did you hear about this retreat?

What interests or inspires you most about joining?

Do you have any dietary restrictions or allergies?

Please share your experience with Ayurveda and Yoga. How familiar are you, have you taken previous trainings or attended retreats?

Do you have any physical limitations or injuries we should know about in advance?

What do you hope to achieve by your participation in the retreat?

Do you have any questions you'd like to discuss about the retreat?

I acknoweldge and agree that no refunds are provided after payment is made, for any reason. If registration is cancelled at least 48 hours before the retreat begins, program fee will transfer to credit with Illumine Ayurveda & Yoga that can be used within 1 year of payment date. Cancellations less than 48 hours before the start of the retreat are not eligible for refunds or credit.

I am ready to send my payment and confirm my space - please send payment information.

I would like to schedule a Clarity Call to discuss questions I have before sending my payment. Please send me a link to schedule a call.

I would like to subscribe to the mailing list. Please add me.