Sicily Experience of Yoga Retreat

Impossible d'ouvrir ce fichier car JavaScript n'est pas activé dans votre navigateur. Activez-le, puis rechargez la page.

Apply here for your place on the Exclusive Deepening Experience Retreat 5-12 October 2024 in Sicily, Italy.

Adresse e-mail *

What is your name? *

Please give your date of birth (not required)

YYYY

Which country are you from? *

Have you participated in any of Luke's programmes before?
*

Yes

How would you describe your current relationship with the practice of Yoga?
*

Do you have any injuries that affect your ability to practice? If so please share more below.

What is your accommodation preference?
*

Double room with shared bathroom

Double room with private bathroom

Single room with shared bathroom

Single room with private bathroom

No preference

Please mention here the name of anyone you would already be agreeing to share a room with.

Do you have any special dietary requirements?

Please use this space for any further comments.

Une copie de vos réponses sera envoyée par e-mail à l'adresse indiquée.

Envoyer

Effacer le formulaire

N'envoyez jamais de mots de passe via Google Forms.

reCAPTCHA