Carriacou Retreat Registration

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Carriacou Yoga Retreat
Green Roof Inn
with Malaika Maitland

Friday Oct 25th - 27th 2019
Public Holiday Weekend

Only 6 rooms available. Shared accommodation with option for single occupancy.

Contact Malaika at hello@malaikabsl.com or call 473-410-5271

Full Name *

Phone Number *

Address *

Email Address *

Preferred mode of communication *

Other:

Welcome Dinner Preference *

Vegetarian

Fish

Please list any food allergies

Please describe any health-related conditions that you have (or have had in the past) that you need to be mindful of when you practice yoga

eg. bone, muscle, ligament, tendon problems or injury; heart, lung, high blood pressure, back/neck pain or injury, epileptic, diabetic or thyroid conditions, pregnancy.

Will you bring a yoga mat? *

Yes

Please provide a rental mat ($20EC)

I'd like to buy one ($100EC)

What do you hope to get from this weekend? *

How did you hear about the retreat? *

Emergency Contact Name *

Emergency Contact Phone Number *

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