Retreat Registration Form

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Email *

Name *

Address *

Phone Number *

Email *

I understand that this trip is non-refundable. I will purchase trip insurance. *

Yes

Fifty percent of your balance is due by May 21, 2023. The remaining balance is due June 30, 2023. ALL payments are non-refundable. Therefore, Trip Insurance is required. You can purchase trip insurance through Travel Insured, World Nomads, or the company of your choice.

Yes

Who are you traveling with? Please include name and phone number. If you are traveling with someone we will place you in a Bungalow together.

Emergency Contact? Please include name and phone number. *

Any medical concerns we should be aware of? *

Have often do you practice yoga?

What are you looking forward to most during your trip to Belize?

What is the main reason for joining a retreat?

What is your shirt size? *

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