Peru Registration Form
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Your Name as it appears on your passport *
Your answer
Date of Birth
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YYYY
Mailing address *
Your answer
How did you hear about this retreat? Please specify: Romy, Email, Facebook, Instagram, friend name. *
Your answer
Emergency Contact Name & Information *
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Where are you coming from?
Your answer
Untitled Section
Tell me about your yoga and meditation experience? Which styles of Yoga and where? How long have you been practicing Yoga?
Your answer
Accommodation Preference
Roommate Name-
Your answer
Would you like to be matched up with a roommate?
Any Allergies?
Your answer
Do you snore?
Your answer
What is your level of fitness?
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Do you have any physical injuries or limitations?
Your answer
What aspects of the retreat are you most interested in and looking forward to?
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Additional Information?
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