Relax & Renew Yoga Retreat - Registration Form

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Please fill out this form and return to Natasha Lenon and Adrienne Shum to complete your registration for the Relax & Renew Yoga Retreat at Hecla Island Resort, October 25-27, 2019.

Full name: *

Phone number: *

Please indicate roommate (if applicable): *

Please indicate food preferences: *

None

Vegetarian

Vegan

Other:

Required

Do you have any food allergies? *

Please note our payment and cancellation policy: payment in full is required to secure your spot. If you are interested in a double room, it is your responsibility to find a roommate. If you need to cancel before July 1st, 2019, you will receive a full refund less an $100 administrative fee. If you cancel on July 1st and after, there is no refund. *

I have read and understood the above payment and cancellation policy.

Required

By signing/typing my name below, I understand that neither Natasha Lenon nor Adrienne Shum are responsible for any injuries, damages or loss incurred by taking part in this retreat. I have also read and understood the payment and cancellation policy. *

Please indicate date of signing: *

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