Gateway to Peace: Costa Rica 2019
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Email *
Name *
Phone Number *
Street Address *
City *
Zip code *
Country *
Emergency contact name *
Emergency contact number *
Room Type? *
If rooming with a friend please include their first & last name and remind them to fill out this application to hold their spot.
What is your yoga experience level? *
Do you have any dietary restrictions? *
If you do have dietary restrictions, please specify below.
What are your goals for this retreat? *
How did you hear about this retreat? *
If you answered "other" to the question above, tell us how you found us!
A $350 Deposit is required and due within 48 hours after hitting SUBMIT (non-refundable). Please initial to indicate you agree with this policy. The remaining payment is due 6/1/19. You will be sent a link shortly after hitting submit to pay your deposit. *
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