Wild Woman Rising Retreat Form
First & Last Name
Cell Phone Number
How did you hear about this event?
Where would you rate your level of Yoga practice?
I have never taken yoga, but excited to try it
I am a beginner Yogini (female yogi)
I am an intermediate Yogini
I am an advanced Yogini
Do you have any dietary restrictions/allergies?
NOPE, I can eat anything I want!
Are you coming from out of town? If so, where? And will you have a car?
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