Peru Yoga Retreat in October
We can't wait to see you in Peru! Please fill out the information below to join the retreat! When you send in your deposit of $200 then your space will be saved in the retreat. Remaining balance will be paid by August 25th. Thanks!
First Name
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Last Name
Your answer
Email Address
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Cell Phone
Your answer
Mailing Address
Your answer
City, State
Your answer
Postal Code
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Country
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Date of Birth
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Accommodations available
Do you have a roommate or friend coming with you?
If you have a roommate/friend coming along what is their name?
Your answer
Meals Preferred?
all meals are plant-based/vegan
What is your level of health? Do you have any physical injuries or limitations?
Your answer
What is your level of fitness? Do you exercise regularly? Do yoga?
Your answer
Emergency Contact
with cell phone number
Your answer
How did you hear about the retreat?
Please list website or person if applicable
Your answer
I have read and agree to the cancellation policy?
Required
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