Residential Retreats at Casa Grande
Welcome! We would like to know a bit more about you and your interest in the course. Kindly take a few minutes to complete the form as thoughtfully as possible. Once we have reviewed your application we will be in touch with more details about the course.
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Name & Surname *
City & Country of Residence *
Mobile Number (including country / area code) *
E-mail *
Preferred method of communication
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What interests you the most about Yoga?
When was the first time you practised yoga? *
How regularly have you practised since then?
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Please mark your current health concerns, if any:
In the last 5 years have you had any serious illnesses/ hospitalisations/ injuries? Please explain.
If you are receiving treatment with any physicians, healers, or therapists, please list them:
What does “yoga” mean to you? *
What are your intentions & inspirations for completing this course? *
What draws you to our course in particular?
Additional comments, questions or concerns:
How did you find out about us? *
Would you like to be updated via newsletter on our future happenings?
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Thank you for taking the time to complete the form. To check the status of your application, if you do not receive a reply within 2 days, contact 
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