Qi Gong for Health

* These fields are required

1 Welcome

3 People in your group

if you are registering for someone without an email address, please use your own.

Guest 1		First Name* Last Name* Email* Gender
Guest 1		First Name* Last Name* Email* Gender

After completing this form, emails will be sent to everyone in your group to complete their information.

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4 Optional Items

Daily Staff (ONLY for those with overnight accommodation at Indralaya)

Please select the number of guests in your registration that are signing up as Daily Staff so the $50/ person discount is applied for each day of the program. This discount applies to the WHOLE program. DO NOT SELECT this option if you are local with no overight accommodation.

-$50.00

Select quantity

Join Friends of Indralaya - Individual 1 year membership

$60.00

Friends of Indralaya - Individual Lifetime Membership

$600.00

Linens Package

Linens Package includes: sheets, pillowcase, blanket, bath towel, hand towel, washcloth. The price is per person.

$40.00

Select quantity

Ferry Pickup

Pick up from the Orcas Island Ferry Dock

$0.00

Select quantity

Electric Vehicle Charging

$5.00

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5 Participant Info

Address *
Address 2
City *
State/Prov. *
Zip/Postal *
Country *
Birth Date
Gender
Are you a member of the Theosophical Society?	Yes No
Are you a member of Friends of Indralaya?	Yes I am joining today No
Terms and Conditions	I accept the terms and conditions.Please read the terms and conditions
Are there other participants with whom you wish to share accomodations?	Please list their names in the space provided
Do you have any special accommodation needs?
Are you selecting a plumbing cabin option?	Yes No
Would you prefer the Roundhouse?	No preference I would prefer the Roundhouse I would prefer not the Roundhouse
Does anyone in this registration have food restrictions?	Yes No
Food Restrictions? Please enter name and type *	(e.g. dairy-free, gluten-free, nut/soy allergy etc.), Please enter person's name and specific restrictions
Did you sign up for Daily Staff?	Yes No
Who in your party is on Daily Staff (write in names)
Any other comments?

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6 Donate

$	General Donation Donations are appreciated! Indralaya is a primarily volunteer, non-profit organization. Fees collected for programs cover only about 75% of our operating costs. Any donations are gratefully accepted (and are tax-deductible). We thank you in advance for your generosity.

7 Payment

Please enter your discount code here: TS Member or Friend

Credit card fee	I am happy to add the costs of processing the credit card fees to my registration. Covering the registration fees is a wonderful way to support Indralaya!
3% Credit card fee	$0

Sub Total	$0

Donations	$0

Taxes	$0

25% Deposit	$0

Pay	Choose to pay a deposit or the full amount right now.

Due Now	$0 $0

Choose Payment Option

	Your registration will be complete once we receive your payment. Click on the button below and these instructions will be repeated on the next page.

	You will be asked for payment details in the next step. Click the button below to continue.

Qi Gong for Health

1 Welcome

2 Price

3 People in your group

4 Optional Items

5 Participant Info

6 Donate

7 Payment