Yoga Retreat Pre-Registration Form

Check appropriate box & Fill in all Required Fields *Interested in Which Retreat? Please Specify Location, Date & Year *Last Name: *Date of Birth: *Email Address: *Street Address: *City: State: *Zip Code/Post Code: *Country: *Cell Phone: *Preferred Accommodations: *Meals Preferences: *First Name: *Where will you be coming from? Which accommodations are you interested in? For how many people? *How did you find out about our retreat? *Are you a Yoga and/or meditation practitioner? If so, what is your level? How often do you practice on a weekly basis? Which styles of Yoga and where? How long have you been practicing Yoga? *What is your level of health? Do you have any physical injuries or limitations? *What is your level of fitness? How often do you exercise per week? Which form of exercise? *Is it your First Yoga Retreat? *What aspects of the retreat are you most interested in and looking forward to? I have read & agreed to the Retreat Cancellation Policy I have read and agreed to the Release of Liability and Assumption of Risk Waiver Agreement Click Here to View Click Here to View