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Maui Retreat Registration
Retreat Dates: November 19-24, 2017
Retreat Location: Lumeria Maui, 1813 Baldwin Ave, Makawao, HI 96768
Contact us at 403.457.4070 or deanna@calgaryiyengaryoga.com
Upon receipt of your registration, we will be in touch to confirm your spot.
Last name *
Your answer
First name *
Your answer
Date of birth *
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Sex *
Telephone *
Your answer
Email address *
Your answer
Mailing address *
Your answer
Emergency contact name and phone number *
Your answer
How did you find out about this retreat and what inspired you to join us? *
Your answer
Have you practiced yoga before? If yes, who with and for how long? *
Your answer
Have you ever practiced according to the teachings of Sri B.K.S. Iyengar? If yes, with who and for how long? *
Your answer
Do you teach yoga? If yes, how long have you been teaching for?
Your answer
Do you teach Iyengar Yoga? If yes, how long have you been teaching for?
Your answer
Do you have any health concerns or injuries that we should be aware of? If none, please answer N/A. *
Your answer
Do you have any dietary restrictions and/or allergies. If none, please answer N/A. *
Your answer
Are your booking a single or double room? *
Required
If you are booking a double room, please provide the name of the person you are sharing with. If you would like us to match you with someone to share with, please see the next question.
Your answer
Please provide us a bit more information about your nature by checking off the boxes that apply to you:
Please list your flight arrival time and departure time (including flight number and airline).
Your answer
Will you be participating in the gong and sound bowl meditation on Tuesday evening (6:30-8:00pm) after yoga practice? *
Will you be participating in bamboo forest excursion on Wednesday after breakfast? *
Deposit
Registration will be confirmed upon submission of this application and receipt of a $500 USD deposit.

Final payment is due by October 15, 2017.

Please choose your method of deposit (we will contact you to arrange): *
Cancellation policy
Cancellations made 30 days prior to retreat date will be required to pay 100% of retreat price. The deposit of $500 USD is non-refundable.
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