Relax & Renew Yoga Retreat - Registration Form
Please fill out this form and return to Natasha Lenon and Adrienne Shum to complete your registration for the Relax & Renew Yoga Retreat at Hecla Island Resort, October 20-22, 2017.
Email address *
Full name: *
Your answer
Phone number: *
Your answer
Please indicate roommate (if applicable): *
Your answer
Please indicate food preferences: *
Required
Do you have any food allergies? *
Your answer
Please note our payment and cancellation policy: payment in full is required to secure your spot. If you are interested in a double room, it is your responsibility to find a roommate. If you need to cancel before July 1st, 2017, you will receive a full refund less an $80 administrative fee. If you cancel on July 1st and after, there is no refund. *
Required
By signing/typing my name below, I understand that neither Natasha Lenon nor Adrienne Shum are responsible for any injuries, damages or loss incurred by taking part in this retreat. I have also read and understood the payment and cancellation policy. *
Your answer
Please indicate date of signing: *
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A copy of your responses will be emailed to the address you provided.
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