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India Retreat Registration
Please claim your spot for your December 2023 Retreat to the Magical and Mythical India
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Name
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12 Day or 8 Day Retreat Option?
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12 Days
8 Days
Email
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Address
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Your answer
Phone number
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Your answer
Are you Vegan or Vegetarian?
Vegan
Vegetarian
Neither
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Do you have any medical conditions? Or physical injuries? Please list ALL below:
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Provide the name, cellphone number and email of an emergency contact, who you allow to be contacted should an emergency occur?
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Is there anything your retreat leaders should be aware of or you would like them to know?
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I plan to pay my $200 deposit via
Check
Cash
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www.omevolve.com
online payment
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