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Pura Vida Joy Costa Rica Yoga Retreat
After completing this form submit deposit ($500) to complete registration
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Email
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Your email
First, Last Name
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Your answer
Address
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Phone #
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Emergency Contact Name and Phone #
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Your answer
Select desired accommodations
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Private Single (King Bed)
Private Couple (Shared King Bed)
Private Single Room in Shared Residence Suite (Queen Bed)
Private Couple Shared Residence Suite (Shared Queen Bed)
Shared Room in Residence Suite (Pullout Sofa Bed)
Other:
Did anyone refer you?
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Please list any health concerns or dietary restrictions/preferences we should be aware of
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What do you desire to get out of this retreat?
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What is your reason for coming on retreat?
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Have you been on a Yoga retreat before?
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Your answer
How long have you been practicing Yoga?
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Your answer
What is your background with Energy Healing?
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Your answer
Have you been to Costa Rica Before
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Yes
No
What do you think you can add to this retreat experience?
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