Sedona Yoga Retreat Registration Form
Please cut and paste this text into an email and fill out the form.
* required
Where did you hear about this retreat?
First Name *
Last Name *
Address 1 *
Address 2
City *
State *
Zip / Post Code *
Phone *
Email *
Emergency Contact Name *
Emergency Contact Phone *
Health / Medical condition we should know about *
Please indicate your experience or level (1-10) *
What types of yoga are you familiar with?
Do you have meditation experience?
Diet restrictions / preferences / allergies (vegetarian, vegan, wheat, etc.) :
Do you snore, and if so, how loudly?
Other (non-food) requests or preferences:
Anything else you would like us to know?
What is your joy and passion?
What is your line of work?
Are you willing to be moderate in your use of electronics during this trip?
$400.00 Deposit
Deposit is refundable up to June 1st.
$1,895.00 BALANCE
Balance due 30 days prior to retreat June 1st. No refund under after June 1st.
Release Form
Release Form: I understand that I am solely responsible for my health and safety, and will not hold retreat leaders responsible for any loss, injuries, or illness that may occur. I will consider the interests of the group, but know that I may participate in as many or as few of the activities as I like. Please note: To insure a safe and sacred a space, we do not allow alcohol at the retreat center itself. There are often offsite opportunities for moderate, mindful drinking. Thank you for understanding and agreeing.
Where did you hear about this retreat?
First Name *
Last Name *
Address 1 *
Address 2
City *
State *
Zip / Post Code *
Phone *
Email *
Emergency Contact Name *
Emergency Contact Phone *
Health / Medical condition we should know about *
Please indicate your experience or level (1-10) *
What types of yoga are you familiar with?
Do you have meditation experience?
Diet restrictions / preferences / allergies (vegetarian, vegan, wheat, etc.) :
Do you snore, and if so, how loudly?
Other (non-food) requests or preferences:
Anything else you would like us to know?
What is your joy and passion?
What is your line of work?
Are you willing to be moderate in your use of electronics during this trip?
$400.00 Deposit
Deposit is refundable up to June 1st.
$1,895.00 BALANCE
Balance due 30 days prior to retreat June 1st. No refund under after June 1st.
Release Form
Release Form: I understand that I am solely responsible for my health and safety, and will not hold retreat leaders responsible for any loss, injuries, or illness that may occur. I will consider the interests of the group, but know that I may participate in as many or as few of the activities as I like. Please note: To insure a safe and sacred a space, we do not allow alcohol at the retreat center itself. There are often offsite opportunities for moderate, mindful drinking. Thank you for understanding and agreeing.