Hudson Valley Yoga + Ayurveda Retreat
August 9th-11th, 2019  // Lifebridge Foundation // Rosendale, NY
Sign in to Google to save your progress. Learn more
Email *
First + Last Name *
Phone number *
What room option would you like to reserve? *
Do you plan to share a room with anyone in particular? If so, please add their name below.
How do you plan to arrive at Lifebridge Foundation? *
Do you have any of the following dietary restrictions? Note: All food is vegetarian. *
Required
Any additional food restrictions we should know about?
A non-refundable $300 deposit is required to complete your registration. The balance for your reservation is due by July 1st. Payment is accepted via Venmo, Paypal or check. Please indicate which method you would like to use: *
Is there anything else you would like us to know/have any questions?
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy