New Year's Retreat Registration
December 29, 2019 - January 1, 2020
Bell Valley Retreat
Boonville, CA
Name *
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Gender *
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Birthdate
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Email *
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Phone number *
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Emergency Contact (name and phone) *
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Please briefly describe your background with yoga and meditation *
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How did you hear about this retreat? *
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Room selection *
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Roommates (*if applicable)
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Payment method *
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Dietary Restrictions (all meals will be vegetarian) *
Food allergies:
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Injuries / physical concerns:
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Participant Agreement: Please not bring any altering substances to the retreat. Learning to relax into silence with a clear mind/body is integral to staying conscious and connected to the internal shifts of healing that are possible on retreat. *
Required
Liability Agreement: I release Monique Haan from liability, which may arise from any claims by me or any third party in connection with my participation in the retreat. *
Required
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