Choose Your Retreat
Autumn Silent Retreat - August 30 - Sept 2nd
Yoga and Meditation Retreat - October 26 - 28th
The main purpose I am taking this retreat is... (may choose more than one)
Going through a transition in my life
For rest and relaxation in a safe environment
For a focused opportunity to practice Yoga / Meditation
To get away from my house/family/routine
To get away from the everyday
I am interested in learning more....
Meditation for Beginners
Thai Massage for Beginners
Advanced Thai Massage
I have the following dietary restriction....
My experience with Yoga and Meditation is...
Other friends / family who would like to join are... (name / relationship to self)
The type of accommodation I prefer (if applicable) is....
Indoor rooms are within the house, with two bathrooms on the same level. Cabins are separate, and require outdoor walk to Yoga Barn for bathrooms / shower.
Indoor room (single)
Indoor room (double)
Indoor room (triple or quad)
Cabin (triple or quad)
Any additional information about yourself that may be relevant to this retreat:
I would like to receive newsletters and updates about Nirvana Retreats.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service