ERYoga Retreat Application
Please complete and return to: eryogaretreats@gmail.com
(completion of this form automatically sends the application)
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Full Name and Date: *
Contact Number and best time to connect:
Email address: *
City of residence: *
Where do you currently practice yoga? Frequency? How long? *
Do you have any yoga certification? Yoga training? *
Please explain how you learned of this opportunity.  How do you know Eric and/or Rina? *
Why do you want to attend this retreat? *

Please share a short paragraph about yourself sharing any other information you'd like us to know. 

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