Yoga in Paradise 2020 Registration Form

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Yoga Heart: Bali Retreat

AltheaYoga
Yoga in Paradise 2020
Yoga Retreat
REGISTRATION FORM

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Name *

First

Last

Date of birth *

Address *

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City

State

Zip Code

Country

Preferred Phone Number *

Preferred Email *

Emergency contact name and phone number *

Have you been on retreat with Althea before? *

Yes No

I have a valid and current passport. *

Yes No

I have travelled internationally before. *

Yes No

How did you hear about this retreat? *

Desired accommodations: *

Meal preferences or food allergies/sensitivities *

Any injuries or conditions that affect or limit your movement? Please list. *

Please read: International Retreat Terms and Conditions for this Yoga Retreat.

By submitting your registration and deposit, you are agreeing to the Terms and Conditions. *

I understand that my $500 deposit is nonrefundable and due at the time of registration. I understand that 50% of the balance is due no later than 120 days prior to the retreat. I understand that the remaining balance is due no later than 90 days prior to the retreat. I have read and understand the Terms and Conditions for this Yoga Retreat.

Submit

Every effort will be made to a give you the accommodations you request.
After you submit your registration I will contact you and provide you with a mailing address for the deposit.
Your registration is complete when your deposit is received.
You'll receive email confirmation when your registration is complete.
THANK YOU!!

“May your choices reflect your hopes, not your fears.” — Nelson Mandela

AltheaYogaYoga in Paradise 2020Yoga Retreat​REGISTRATION FORM

AltheaYoga
Yoga in Paradise 2020
Yoga Retreat
REGISTRATION FORM