Self to Source Yoga Retreat 30/11-2/12
Hi there! Please fill out the information below to sign up for the "Self to Source" Yoga Retreat❤️ 
I am honored to have you with us for this special event. Thank you 🙏🏼
Full Name *
Email *
Phone number *
Any special dietary, medical or other needs for the retreat weekend?
Room Choice (Price will go up November 1st) *
If you plan on sharing a room with friends or family please write their names below and if you are paying for the whole group or separate payments. 
If you would like to upgrade to a superior room for 400 more shekels, please specify below. 
Waiver & Release of Liability (please agree to the terms by writing your full name below): *
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If you have any other questions or concerns please write them below and I will get back to you with an answer as soon as I can😊 Thank you!
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