Request edit access
Spring Renewal Retreat Registration
April 7 - 10, 2022
Bell Valley Retreat
Boonville, CA
Sign in to Google to save your progress. Learn more
Name *
Gender *
Email *
Phone number *
Emergency Contact (name and phone) *
Please briefly describe your background with yoga and meditation *
How did you hear about this retreat? *
Room selection *
Roommates (*if applicable)
Payment method ($325 deposit to secure reservation, or pay in full now / balance due no later than March 7) *
Dietary Restrictions (all meals will be vegetarian) *
Food allergies:
Injuries / physical concerns:
Are you interested in receiving bodywork during the retreat? Note: This will be offered on a first come first serve basis as spots are limited.
Clear selection
Participant Agreement: Please not bring any altering substances to the retreat. Learning to relax into silence with a clear mind/body is integral to staying conscious and connected to the internal shifts of healing that are possible on retreat. *
Cancellation Agreement: Cancellations made before March 7 will receive a full refund. Any cancellations made after March 7 are non-refundable. Exceptions will be made if you test positive for Covid within 14 days of the retreat.
Clear selection
Liability Agreement: I release Monique Haan and Sheana O'Sullivan/Sheana O Yoga from liability, which may arise from any claims by me or any third party in connection with my participation in the retreat. *
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy