June Yoga Retreat Registration form

Register here

Please fill one form per adult.

Child’s do not need to fill the form

Name

First Name

Last Name

Age

Phone number

Country

(###)

###

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Which room are you booking?

Shared facilities - Double Room - twin share

Shared facilities - Double Room - single occupancy

Shared facilities - Twin Room - twin share

Ensuite Room - twin share

Ensuite Room - Single occupancy

Ensuite Room -4 Person room

If you are coming with a child, enter age and name

Emergency contact name

Emergency contanct number

Country

(###)

###

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Where are you from?

Where are you currently living?

Please describe your reasons for coming to the retreat

Are you currently taking any prescribed medication? If yes, please discribe

Have you recently experienced any major stressors? If yes, please describe

Do you have any health issues we should know about?

Do you have any dietary requirements? Please state

Is there anything else you think I should know?

Where did you hear about the retreat?

I agree to the cancelation policy and the terms and conditions stated in the "more information" section of the retreat's page

Yes

Payment information will be sent to your email address.