Elements & Chakra Yoga Retreat ARUBA
16 - 23 May 2020
Email address *
Name *
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Birth Date *
Sexe *
Rijksregisternummer | National ID Number | Passport Number *
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Phone Number *
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Address *
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How did you hear about this retreat? *
Travel Insurance Policy Number | Mutualiteit *
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Does your health allow you to practice yoga in a warm environment? *
What is your level of yoga practice? *
Did you undergo a recent surgery? *
If YES, which surgery?
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Are there any other physical or mental conditions I should know about? *
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Do you have food allergies? If YES, please describe. *
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Who should we contact in case of emergency? Please leave name, relation tot this person and his/her phone number. *
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By submitting this form, I agree to the cancellation policy of this retreat, which can be found on the website of One Happy Yoga Travel *
I acknowledge that all information above is correct and complete. I acknowledge that Adriana Stan is not responsible for anything if I am submitting false or incorrect information. I acknowledge being fully responsible for my own actions during this retreat, at the retreat venue or outside, even during excursions. Adriana Stan is not responsible - in any way - for any of my actions or the consequences of my actions. *
Payment instructions
Your participation is confirmed after receipt of the deposit of €700 on the bank account of Adriana Stan IBAN: BE46 0017 8860 6036 SWIFT: GEBABEBB mentioning your name + yoga retreat Aruba. All transfer costs are carried by the sender. The remaining balance is due 1 month prior to start of the retreat at latest. In case you need a payment plan, please contact Adriana at info@adyogini.com.

private room with queen size bed and ensuite bathroom: €1800 (€700 deposit + €1100)
private room with queen size bed and shared bathroom : €1750 (€700 deposit + €1050)
twin bed in shared room (only 2 beds in this room): €1650 (€700 deposit + €950)
A copy of your responses will be emailed to the address you provided.
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