Costa Rica Yoga Retreat Registration 2027
If you are committed to taking the plunge, please fill out this form : )
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Full Name *
DOB *
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Email *
Passport Number, expiration date, and name as it shows on your passport (if you have one) IF NOTHING HAS CHANGED, and you have already travelled with me before, I can look this up : )  *
Cell Phone Number *
Billing Address *
Are you interested in coordinating your flight and travel to and from the airport with Raegan? *
Are you interested in coordinating your flight and travel to and from the airport with Raegan? *
Would you like to pay in full for a shared room at the retreat ($2,675) or pay in installments?  *
Would you like a single room or shared accommodation? (A Single room is an additional $375)
 *
Please include your checking account number and routing number OR your credit card number, exp date, 3 digit code. Please note that there is a merchant fee for credit cards and no merchant fee for checking account. *
What is your billing address?
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Emergency Contact *
Food Allergies *
How did you hear about us?!  *
We are so excited! We hope you are too : )
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