2019 Yoga Indulgence in Costa Rica Retreat
with Kelly Fisher, Yoga Therapist, E-RYT 500, and Lucy Lomax, Yoga Therapist, E-RYT 500
Pura Vida Resort and Spa, Costa Rica
November 9 - 16, 2019
First Name *
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Last Name *
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Street Address *
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City *
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State *
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Zip *
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Best Phone *
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Email *
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Your preferred accommodation? Please note Early Bird Rate, if registered by May 31, is $100 off amount listed below. *
If you wish to share a room, please name your preferred roommate. All rooms are either single or double occupancy.
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Name of Emergency Contact *
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Relationship of Emergency Contact to You *
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Best Phone for Emergency Contact *
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Previous Yoga Experience
Please briefly describe your familiarity with yoga and meditation, example, "Level 1," Level 1/2," "novice," "some experience," "experienced."
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Special Conditions or Physical Needs
Please briefly describe anything you wish to explain that may affect your practice of yoga or your stay at this retreat.
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Food Allergies
Please briefly describe any allergies or food needs for the meals provided.
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Anything Else?
Please briefly describe anything else you feel like your hosts should know regarding this trip.
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Thank you for your registration!
To complete your registration, a deposit of $1000 is due by June 20.
EARLY BIRD RATE: If you register and send deposit on or before May 20, receive $100 off.

Please mail a check made to "Wildflower Yoga" to:

Wildflower Yoga
PO Box 1473
Cheverly, MD 20785

Please write: "2019 Yoga Indulgence" in the memo line.

Alternatively, you may use paypal for an additional $30: kelly@wildfloweryoga.com
We are happy to provide an invoice if that would be helpful, please email to let us know.

*Remainder of fee is due by September 15, 2019.

What to bring:
*Yoga clothes! Also, a bathing suit, and your normal travel wear.
*The Yoga Studio is equipped with all props you will need, but if you want to bring your own mat, please do.
*You may wish to bring your own meditation cushion if you have one.
*Bring your water bottle to make sure you stay hydrated.
*Comfortable shoes for walking/hiking.
*Notebook/Journal and writing utensil is optional.
*Your own toiletries and any other normal travel accessories.
*We recommend that you purchase travel insurance in case of unforeseen circumstances.

Your fee includes three buffet-style meals all made with fresh and local ingredients each day.
Round-trip shuttle service is available to and from SJO airport.

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