Occitania Retreats
Thank you for taking the time to fill out this form. All the information provided here will be kept confidential with the exception of that regarding room preference, food specifications & allergies that the resort needs in advance.
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Email *
Name and Last Name *
Complete Address *
Mobile # *
How long have you been practicing yoga for? *
How would you rate your level of Asana practice? *
Required
Do you have any injuries? *
Do you have any food allergies? *
What accommodations do you choose? *
What week do you choose? *
Do you want us to put you in contact with other participants who wish to share a car rental during the week you chose? *
How did you hear about the retreat? *
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