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Registration & Payment Ruah Yoga 2017 Montego Bay Jamaica Retreat
Event Timing: January 4th-6th, 2016
Event Address: 123 Your Street Your City, ST 12345
Contact us at (123) 456-7890 or
Email address
First and Last Name
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Room Selection
Names if Sharing Room
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Country of Residence
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Passport Country of Issue and Expiration Date
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Passport Number
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Phone Number
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Email Address
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Mailing Address
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Emergency Contact name, number, email, relationship
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Dietary sensitivities/allergies
Describe your yoga practice level and experience.
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What are you seeking in your retreat experience?
Do you have any physical conditions?
I understand that I must pay via paypal or check a 50% Deposit to reserve my place and pay in full by April 29th.
How did I find out about this retreat?
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