2024 Yoga Is Medicine Retreat Registration

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Be one of 22 lucky people to attend our Winter 2024 retreat at Casa Om!

We are so excited that you plan to join us for this amazing week. Whether you plan to attend with yoga buddies and/or family members, are looking to make some new yoga friend-connections, or are just looking for a quiet & healing vacation for yourself, you are invited!

Once you fill out this form, a confirmation message will appear with further instructions for submitting your deposit. Deposits received within 10 days will validate this registration form. If a deposit is not received within that time period, the registration request will expire and we will request that you resubmit.

Feel free to contact Ann with any questions.

Email *

First and Last Name *

What is your membership status with Yoga Is Medicine? (All of the following are invited and welcome!!)

In-Person: Current Member

In-Person: former/prospective/occasional student

Bikram Yoga Online Livestream: Current Member

Bikram Yoga Online Livestream: former/prospective/occasional student

Library or Patreon Member who primarily practices recorded classes

Family member of one of the above

Friend of the studio - student or Bikram/OHY teacher elsewhere

Other - please specify :)

Please select your Payment Method for $500 deposit

Note: This registration submission and room preference selection will be validated if deposit is received within 10 days. When you submit this form, a confirmation message will appear with payment instructions for each method.

Cash

Check

Venmo

Credit Card

Preferred Room Type *

Double Room w/private bath - 2 Twin beds with private bath. Double occupancy.

Double Room w/shared bath - 2 Twin beds with shared bath. Double occupancy.

Dorm Room - Sleeps 4 - bunkbed or single beds - Private bath. Quad occupancy.

Premium Queen Room - One queen bed and one day bed. Private balcony & Private bath. Double occupancy.

Premium King Room - One king bed. Private bath with large tub. Balcony access & AC. Double occupancy.

Rooftop Deluxe Room - One queen bed. Private bath and private balcony. Natural room & ceiling fan, plus 360 views. Double occupancy.

If your preferred room type is unavailable, which other room types are you ok with? *

Double Room w/private bath - 2 Twin beds with private bath. Double occupancy.

Double Room w/shared bath - 2 Twin beds with shared bath. Double occupancy.

Dorm Room - Sleeps 4 - bunkbed or single beds - Private bath. Quad occupancy.

Premium Queen Room - One queen bed and one day bed. Private balcony & Private bath. Double occupancy.

Premium King Room - One king bed. Private bath with large tub. Balcony access & AC. Double occupancy.

Rooftop Deluxe Room - One queen bed. Private bath and private balcony. Natural room & ceiling fan, plus 360 views. Double occupancy.

None of the above; I would only like to go if I get my first choice.

Required

Roommate Name(s)
Please make sure both/all roommates submit other roommates' names, and submit deposit within one week of each other. Thank you!

Do you have any additional notes or information that would be helpful in roommate placement?

A copy of your responses will be emailed to the address you provided.

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