Living Yoga Retreat Registration
February 14-16, 2020
Bell Valley Retreat
Emergency Contact (name and phone)
Please briefly describe your background with yoga and meditation:
Any injuries or health conditions Amy should be aware of?
Single room with shared bathroom, $559 / $539 early bird
Double room with shared bathroom, $509 / $479 early bird
Women's bunk house, $479 / $459 early bird
Bell Tent (glamping), single, $489 / $459 early bird
Bell Tent, double, $469 / $449 early bird
Camping in your own tent, $429
Roommate (if applicable)
Check made out to "Ladle and Lotus"
Credit Card via PayPal
If you opted to pay by credit card (PayPal), I will email you an invoice within 24 hours.
I am now ready to pay:
$250 non-refundable deposit to hold my spot. Full payment is due by January 14th, 2020.
Liability Agreement: I release Amy Hillman-Siracusa from liability, which may arise from any claims made by me or any third party in connection with my participation in the retreat.
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