Retreat Registration Form- ITALY

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Email *

Name *

Address *

Phone Number *

I understand that this trip is non-refundable. I will purchase trip insurance. *

Yes

Fifty percent of your balance is due on November 1, 2023. The remaining balance is due February 1, 2024. ALL payments are non-refundable. Therefore, Trip Insurance is required. You can purchase trip insurance through Travel Insured, World Nomads, or the company of your choice. **Travel insurance protects you before you go (if you need to cancel) and while you're away (if sick/injured or need to come home early).

Yes

I understand that if I do not buy trip insurance and cannot attend for ANY reason, I will forfeit the cost of the trip. *

Yes

Who are you traveling with? Please include name and phone number. If you are traveling with someone we will place you in a room together.

Emergency Contact? Please include name and phone number. *

Any medical concerns we should be aware of? *

Have often do you practice yoga?

Describe your current fitness level.

What are you looking forward to most during your trip to Italy?

What is the main reason for joining a retreat?

What do you prefer?

What is your shirt size?

Type your Name/Signature that you understand the terms and items listed above. *

Submit

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