Breathing Deeply Yoga Therapy Program Retreat Registration Form
2020 Retreat Registration Update: Please note that the following retreat form needs to be completed along with payment sent in for you to be registered for your chosen retreat. There are payment links next to the "pandemic shift" selection for accommodations. Please click on this link to pay as well as complete this form. Thank you!
Retreat Date *
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Name of Retreat *
Your Full Name *
Your Email Address (We will send a PayPal invoice to this address) *
Please check what your accommodation preference (first come first serve) *see notes above in descriptions *
Please include the city and state where you live *
Please include your phone number below *
Please provide us with any special accommodations you will need at this retreat (handicap accessibility, food restrictions, etc)
If you didn't use the links above to pay for the virtual retreat you are registering for, you have not completed your registration. Please make sure to click below to pay and don't forget to submit the form below, as well!
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