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Puglia  retreat 2024
Use this form to book a place at yogapulia 21 to 27 sept 2024
Full name *
Email address *
Date of Birth *
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Address *
Telephone number (please include the area code) *
Do you have prior experience of Mysore self practice *
If you answered yes to the last question please tell me a little bit  about your practice
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Do you have any food allergies or dietary requirements (please note all meals are vegetarian) *
If you answered yes to the question above please provide details of any dietary requirements, food intolerances or allergies
Please provide an emergency contact’s phone number (including area code) *
Please provide any further information you would like me to take note of
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