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Home
About
Training
- Upcoming Teacher Trainings
Health Coaching
Workshops/ Retreats
Classes
- Online Classes
- Private & Corporate
Connect
Sign In My Account

Retreat & Course Questionnaire

Please provide the answers to the following questions.

* Required

Name *

First Name

Last Name

Email *

Phone *

Country

(###)

###

####

Which retreat are you registering for? *

Water Island 2016

France 2016

Costa Rica 2017

Greece 2018

Grand Canyon 2019

Do you have any injuries or physical limitations? If so, please describe *

Do you have any food allergies or follow a specific diet? (i.e. vegan, gluten free, nut allergy, ect.) *

Please briefly describe your current yoga practice (ie: how many asana classes per week? meditation practice?) *

What is your preferred accommodation type? *

Couple accommodation

Couple premier* accommodation (*Option in Bali Only)

Same gender shared room w/one other person (discounted price) *sold out as of 3/20/19

Same gender shared *premier accommodation (*Option in Bali Only)

Private Single Room

I understand all deposits are non-refundable. Full payment is due 90 days before retreat start, November 18, 2019.

Yes, I agree with these terms

No, I do not agree

Thank you for taking the time to fill out the application!

Please make a payment below to reserve you spot in the Meditation and Philosophy Course.

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