Summer Yoga Retreat in the Poconos with Stephanie Marino!
Email address *
First & Last Name *
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Your age *
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Phone Number *
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Accommodations
Accommodation Preference (Indicate bedroom #. See photos above for reference in choosing the exact room you desire) Please choose only one. *
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Which bed do you prefer? (Price varies. See above for details) Please choose only one. *
Intended Roommate/s (if applicable) *
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Yoga and Meditation Experience
The specifics of this section are not super crucial, and don't worry- it doesn't interfere with your registration. I just want to get an idea of where you're at so I can tailor our daily classes to meet everyone's needs, particular levels of experience and personal preferences.
How long have you been practicing yoga? *
What style(s) of yoga have you practiced and/or are familiar with? (Choose all that apply) *
What's your experience with meditation? *
Dietary Restrictions and Preferences.
We have an in-house chef staying with us during our retreat. She will make daily meals according to personal preferences. Please be specific in this section.
Do you have any dietary restrictions? Please be specific and list them. (For example: "I have a deadly allergy to peanuts.") *
Your answer
Are there certain types of food you just don't like and won't eat? *
Your answer
What kind of food would you love to eat during your stay on this retreat? *
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Additional Info
What is inspiring you to join this yoga retreat at this time? *
Your answer
Is there anything else you'd like to share or would like Stephanie to know as it relates to this retreat? (For example: "This is my first retreat and I'm so excited", or "I really hope to hike a lot", or "I might have a friend interested in joining", etc.
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