Italy Retreat Application
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Name (first, last) *
Email Address *
Phone Number
Date of Birth
Will you be traveling alone? *
What room accommodation are you most interested in? *
If you are traveling with someone, please list their name(s) below. *
Please explain your interest in this retreat. *
Do you have an existing yoga/meditation practice? *
Do you have any questions we can answer for you about this retreat? *
All participants are subject to a background check. If selected to attend this retreat, are you agreeable to this? (We want all of our students to feel as safe as possible while on this retreat). *
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