COVID Vaccination Form

COVID Vaccination:

At this time Ashram is only welcoming participants and guests that are fully vaccinated and able to provide proof of their Vaccination at least 72-hours before their arrival. Thank you in advance for your understanding and providing the information below. If you have any questions please contact [email protected]

Our current Health protocols can be viewed here:
Satchidananda Ashram Yogaville-Virginia Health Protocols

Name(Required)

First Last

Email(Required)

Registration Confirmation #:(Required)

You will have received this 5-digit number in your confirmation letter upon booking.

Please Provide the names and emails of all guests in your party:

COVID Vaccination(Required)

I am fully vaccinated, will provide my documentation as requested, and have read and agree to the following:

By Checking the box, I verify that I and all guests in my party are fully vaccinated and will provide photo confirmation at least 72-hours (Sunday, 2 pm ET) before arrival through the following form. I understand that if any or all members of our party do not provide proof of vaccination at least 72-hours before arrival our registration will be cancelled with no refund or credit given to any members of our party
I understand that I and all guests in my party will need to provide proof of ID (Drivers License or Passport) upon Arrival at the Ashram to be shown at check-in.

COVID Hotspots

We monitor the average number of reported COVID-19 cases over a 14 day period, in the U.S. counties guests are coming from, up to the day before they arrive, using the New York Times case tracking data. We may also use additional data as appropriate.

We may cancel your reservation or ask you to take an Antigen Rapid Test upon arrival if you are coming from a COVID-19 hotspot.

Please provide a picture of your vaccination documentation.(Required)

Drop files here or

Accepted file types: jpg, jpeg, png, pdf, Max. file size: 50 MB.

You may provide a photo copy of all your parties vaccination cards through this form or send the form separately to each member of your party for them to fill out on their own with the link below:
COVID Vaccination Form