Belize Ayurveda Retreat Registration/Application
Congratulations on deciding to make an investment to support your rest, relaxation and Ayurvedic journey. Please complete the following questionnaire to begin planning your experince in Placencia, Belize in August 2023.

This registration does not confirm your space at the Retreat. Once you complete this form we will send you a link to make a deposit for your space. You may pay in full in one payment if you prefer. After you send your payment you will receive confirmation of your space.
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Email *
What type of accommadation will you require? (Note: Companion Occupancy is different than double occupancy. Your companion will share your bed and you'll both recieve lower pricing for your experience. There are no rooms with 2 beds. If you want to bring someone and have that person stay in a separate bed it will require a separate Single Occupancy registration. Companions do not have to be Ayurveda professionals and they may participate in the full retreat experience.) *
What is your full name? *
What is your phone number? *
Please tell us about yourself. *
When and where did you learn about Ayurveda?
What one thing about your PERSONAL practice that you would change if you could? *
In what ways would you like to enhance your PROFESSIONAL practice? *
In what branch of Ayurveda do you specialize? (if applicable)
What is your favorite Ayurvedic treatment modality and why? (i.e aromatherapy, Abyhanga, light therapy, yoga, etc) *
Have you traveled to Belize previously? *
What activies NOT related to Ayurveda would you like to expereince during the retreat in Belize? 
If traveling with a companion please enter their name below.
Please list any food allergies or any special accommodations required to attend?
Please provide the name and phone number of an emergency point of contact not traveling with you. *
Is there anything else we should know or that you want to share?
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