Guatemala Residency 2019/20
NOVEMBER 15, 2019 - FEBRUARY 15, 2020

Please complete this application to register your details to stay with Momentom. You will have the option to pay your deposit to hold your booking, straight away in the confirmation email once your application is sent.

If you submit without payment our team will be in touch with you to discuss your stay with us.

All reservations will only be confirmed with the payment of a deposit.

RATES FOR CHILDREN *
5 and under = 75% off
6 - 11 years old = 50% off
12 and older = Regular price

*must be in private room under supervision of parental guardian. Not children to stay in Momentom dorms.
** Please request discount codes for booking children by replying to the confirmation email on receipt of your application submission.

Email address *
Full Name *
Your answer
Date of Birth *
MM
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DD
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YYYY
Country of Residence *
Your answer
Why do you want to participate in Momentom Residency Guatemala? *
Your answer
Are you a yoga teacher? *
Do you have a personal meditation practice? *
Do you train in Movement Arts / Circus? Which are your main arts? *
Your answer
Are you *
Please list any qualifications you have that may be related to yoga, circus, movement, bodywork, psychology, entrepreneurship, design & the arts. *
Your answer
What is your main intention for your stay - this could be related to your artistic practice, specific skill, spirituality, community, entrepreneurship. *
Your answer
Instagram *
Your answer
Facebook *
Your answer
Website *
Your answer
How did you hear about us? *
Your answer
Are you interested in Professional Services by in-house residents (please note - these are add on services at an additional fee) *
Required
Thank you.
We will be in touch soon. MC x
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