Running & Yoga Retreat Registration- Virginia

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Email *

Name *

Address *

Phone Number *

I understand that this trip is non-refundable, but it is transferable. It is up to me to find someone to take my spot. I am encouraged to purchase trip insurance. You can purchase trip insurance through Travel Insured, World Nomads, or the company of your choice. **Travel insurance protects you before you go (if you need to cancel) and while you're away (if sick/injured or need to come home early).

Yes

I understand that if I do not buy trip insurance and cannot attend for ANY reason, I will forfeit the cost of the trip.

Yes

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I understand that my balance is due 2/1/24. *

Yes

What is your room preference? *

1 bedroom w/ private bath (SOLD)

2 bedroom w/ private bath (3 spaces available)

1 bedroom Dome w/ private bath (1 left)

Who are you traveling with? Please include name and phone number. *

Emergency Contact? Please include name and phone number. *

Any medical concerns we should be aware of? *

How often do you run? How many miles per week do you average?

Are you comfortable power hiking on rocks and in elevation?

Yes

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Have often do you practice yoga?

What is your favorite form of physical activity?

What are you looking forward to most during our weekend together?

What is the main reason for joining our retreat?

Any food allergies?

Tank top size

XXL

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