Release & Connect Luxury Yoga Retreat Interest Form:  May 10-16, 2026
Thank you for your interest in joining us this spring at a beautiful villa with mediterranean garden and pool nestled in the middle of a charming provencal village in France, 

As a Release and Connect Yoga retreat guest, we ask that you complete this questionnaire in order to reserve your place in the retreat. In order to offer you the best possible experience during your stay, please provide all details requested below. 

PRIVACY POLICY: We are committed to keeping your e-mail address and personal information confidential. We do not sell, rent, or lease our client information to third parties, and will not disclose your email address to any third parties. 

We will maintain the information you send via e-mail in accordance with applicable international and federal laws.

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Email *
*
First and last name
Date of birth *
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Phone number *
Home Address *

We kindly ask that you select your first and second choices for your preferred bedroom.

NOTES:
  • Room rates vary, with the luxurious Single-Use King Room being the most expensive option, while the Twin Room offers a more budget-friendly choice.
  • Double-Use King and Queen Rooms have two people to a bed.
  • The expansive villa offers five bedrooms per floor, each thoughtfully paired with three beautifully appointed bathrooms. Typically, two bedrooms share a large, spacious full bathroom with a double vanity, while one bedroom enjoys the privacy of its own full bathroom. This historic home has been recently updated, blending timeless charm with elegant European style.
What is your FIRST CHOICE for preferred type of room?  *see notes below on paying in USD *
What is your SECOND CHOICE for preferred type of room? *
Are you willing to share a room with someone? *
Please list the first and last name of the person you'd like to share a room with.

What do you wish to get out of this Retreat?

*

What do you notice you're craving more of in your life right now? How does this make you feel?

*
What do you notice comes up for you when you're asked to share more of yourself in groups? *
How do you describe your yoga practice? *

Would you like to arrive early and stay at the villa on the night of May 9th?
There will be no formal programming until Sunday afternoon, so this optional pre-night stay—available for a nominal cost of €250 —offers a relaxed opportunity to unwind, recover from jet lag, and settle in at your own pace.

Please note that while we will do our best to accommodate early arrivals, access to rooms before 5:00 PM cannot be guaranteed.

*

I confirm that I am physically capable of participating independently in the activities associated with this retreat. I understand that the retreat involves physical movement (including yoga and walking), navigating stairs, travel over uneven terrain, and optional excursions. I also acknowledge that I am responsible for carrying my own luggage and that I am in appropriate physical, mental, and emotional condition to fully participate. I will communicate any limitations, concerns, or special needs in advance.

*
Please see below for the pricing structure. You will be sent a payment link once your application is approved. 


$500 deposit to secure your place, non refundable.

Balance due on or before January 10, 2026

* How do I pay in Euros?  Good Question:    

You are welcome to pay in USD. However, due to increasing fluctuations in the USD and because all program expenses are incurred in Euros, the final cost must be calculated in Euros.

When we send your payment link (valid for 3 days), the amount will be shown in USD, based on the official EUR/USD exchange rate published by the European Central Bank (ECB) on the day the link is issued. That rate will remain fixed for the 3-day validity period.

We use the ECB’s reference rate as it is widely recognized as an official and reliable benchmark across Europe. For transparency, you can view the current rate directly on the ECB’s official website.

This approach ensures clarity and fairness for everyone involved. Thank you for understanding.

Cancellation policies:

Things happen and cancellations are sometimes necessary. As all the retreats require an immense effort from our team, the time of cancellation will define the refunds as follows:

* Should you have an impediment that forces you to renounce, your deposit can be transferred to another date retreat, provided cancellation is at least 120 days before the beginning of the retreat.

* Should you decide to cancel between the 91st  and 119th days before the retreat, a refund of up to 40% of the payment (excluding the deposit) will be provided.

* Should you cancel after the 90th day and prior to the retreat, we are so sorry as we will not be able to refund you. Let’s hope this does not happen.

Please note that because Yoga Retreats are limited to a small number of attendees, to allow for a more personal, intimate experience, our cancellation policy is in place to help guests and us alike work together to share expenses that may arise from unexpected cancellations.

Any refunds allowed will incur a 3% processing fee.


Travel Insurance

No one books a retreat with the intention of cancelling, but unexpected events do occur, so please consider purchasing travel insurance. We do not have preferred travel insurance providers, but here's a link to a portal that offers several options (  https://www.insuremytrip.com ).

Please note, it is your responsibility to read and understand our cancellation policies. Exceptions cannot be made for any reason, including weather, injury/illness, or personal emergencies. We cannot extend refunds or credits for failure to attend, failure to complete the retreat, or for arriving late or leaving early. We recommend that you purchase your own travel insurance. We encourage you to purchase trip cancellation insurance in order that your trip fees will be covered should you or your family have a medical problem prior to your trip or while on the trip. Trip insurance should also be purchased to cover medical expenses in the event you have an accident while on the retreat. Most travel insurance must be purchased within 14 days of making your reservation/initial deposit.

Please note, we reserve the right to cancel retreats with inadequate participant interest, in which case all money paid will be refunded. Notification of cancellation for this reason will occur at least 1 month prior to retreat start date. Release and Connect Yoga Retreats cannot be held responsible for any personal expenses, such as airline tickets due to changes in itineraries or retreat cancellations.


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