Registration - Step 1

Program Information

You are registering for:
Power of Yoga and Qigong for Creativity and Self Healing
November 22-24, 22-26
Amelia Barili

Length of Program

*How many days do you want to attend?

Registrant Information

* Gender:

  1. Defaults to USA
  2. Repeated to be sure it is right
  3. If you are driving to MMC.

Housing Choice

1st 2nd Housing Cost for
2 days
Cost for
4 days
Commuting $411 $887
Own Tent $433 $931
Own Van $433 $931
Dormitory $491 $1047
Triple $519 $1103
Double $561 $1187
Double w/ Bath $575 $1215
Single $617 $1299
Single w/ Bath $677 $1419

If you have a physical disability that limits where you can be housed, please note this in “Additional Requests” below.

If given a choice, would you prefer a cabin or a room?
What's the difference?

If you wish to share your housing with someone, put their name here:

  1. Make sure that they register separately.



  1. Privacy Concerns?

How did you first hear about this program?

Shall we keep you informed of events at Mount Madonna Center?

  1. Would you like to contribute to our Green Fund?

Green Funds will be used for sustainable innovations and eco-events at MMC.

Additional Requests

Include the following in your additional requests:

  • Arrival and/or departure dates if they differ from your program's.
  • The ages and names of children you are bringing, if any. Children under 2 are free; between the ages of 2 and 12 are half-price; age 13 and older, please register him/her separately, as an adult.

Important Notes

  • Balance is due on arrival (Visa, MasterCard, cash or check only).
  • Deposits are non-refundable and are not transferable to another person. For cancellations received at least 2 weeks before the program starts, the deposit less a $50 fee will be credited to any other program within one year. No credit is available for cancellations less than two weeks prior to the program start date, for no-shows, or for leaving an event early. Housing changes incur a $20 change fee.
  • This form does not automatically reserve your spot for the program. You are not registered until we receive your deposit. If the program is full, your deposit will be refunded.
  • Housing is not always available. Do not finalize your travel plans until you have received a housing confirmation from Mount Madonna Center.
  • We will be sending you a confirmation email. Don't let it end up in your spam folder. Add the following addresses to your list of acceptable emails: and