Registration Form

Registration Form

Please complete the following form.

Send a 50% deposit via PayPal or email money transfer to Payment@Innermoves.com,              

or by cheque to Dhyana Bartkow at 625 Glen Rd., Gibsons, BC, V0N1V9.

Thank you!

For classes, workshops and Personal Retreats, deposit will be returned with 2 weeks cancellation notice, minus a 10% administration fee. For Group Retreats, deposit will be returned with 2 weeks cancellation notice, minus a 10% administration fee, if your spot can be filled.

Registering For:
Date of Class/Workshop/Retreat:
Your Name:
Home Phone #:
Work Phone #:
Email Address:
Mailing Address:
City & Postal Code:
Birthdate:
Current Date: