Retreat Booking Form

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Which Retreat Are You Booking

If France, which room are you booking?

Name

First Name

Last Name

Email

Phone

(###)

###

####

Booking with a friend? What is their name? (if applicable)

First Name

Last Name

Emergency Contact

First Name

Last Name

Relationship

What is your current yoga experience?

What would make this retreat special for you? What would you like to get from the experience?

Do you have any allergies, dietary requirements or health conditions?

Where did you hear about the retreat?

Do you have any questions?