Women's Retreat with Jodi and Alex Feb 9-10, Central Valley, NY
Welcome to our retreat sign up, we are so excited for you to join us! Please take some time to fill out this form and allow us to get to know you better. All answers are strictly optional and confidential. We look forward to having you!
Alex and Jodi
Phone Number (in case we need to contact you day of):
Please select your accommodation:
Shared room in main house (4 available) : $335
Single room (2 available, first come first served): $385
Please select your payment method (payment is due no later then 2 days after signing up):
Venmo sent to @Jodi-Epstein
Cash or Check made out fo Jodi Epstein
Credit Card (includes 3.5 % fee)
Let us know how you will get here:
Car and I can drive additional people
9:14 AM NJT to Harriman from Penn Station via Secaucus, arriving at 10:28am
Please select your meal preferences:
Please let us know if you have any food allergies:
Do you have any physical injuries or ailments that affect your yoga practice?
Which of these general areas would benefit from our support (choose any that apply)?
Pregnancy and Fertility
Uterine, Vaginal and Cervical health
Tell us about your intention for this retreat and if there is anything specific you would like to explore:
Refund Policy: By checking the box below I understand that there will be no refunds starting January 26, 2018
A copy of your responses will be emailed to the address you provided.
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