Shiva/Shakti Yoga Retreat at Surprise Valley Hot Springs Resort (Responses)
Name *
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Address *
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Phone Number *
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Email *
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Room Choice (see specific options on Prices form) (*shared* rooms for those that want to share) *
Your answer
Will you be rooming with someone else? *
Name of roommate: *
Your answer
Emergency Contact Name & Phone Number *
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Any dietary restrictions? *
Your answer
Tell us a little about your yoga practice: *
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Like a private yoga session, this Retreat will be tailored to you and those who attend. What would you like to get/gain, achieve, accomplish, learn? What are your goals physically, emotionally, and mentally? *
Your answer
What is your experience with Shakti, goddesses, feminine form? *
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Why are you attending this Retreat? What do you desire? *
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Any injuries or physical limitations to be aware of? *
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How will you be paying? *
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Would you like a women's fitted tank, women's slim-fit t-shirt, or a men's athletic t-shirt? (colors shown are just examples, not what you will be receiving) *
What size shirt? *
Any questions? Feel free to ask:
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