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    Yoga Retreat Input Form
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Thank you for taking the time to provide us with the following information. It will greatly help in planning our upcoming yoga retreats.


  1. Please provide the following contact information:

    *Name
    Title if applicable
    *Street Address
    Address (cont.)
    *City
    *State/Province
    *Zip/Postal Code
    *Country
    Home Phone
    *E-mail
    URL if applicable
    *Required Fields

  2. Where are you most interested in attending a retreat? Check all that apply.

    Bali
    Thailand
    Vietnam
    India
    Florida

  3. What dates work best for you? Check all that apply.

    January
    February
    March
    April
    May
    June
    July
    August
    September
    October
    November
    December

  4. How much time do you have available? Check all that apply.

    2 days (Weekend)
    4 days (Long Weekend)
    1 week
    10 days
    2 weeks
    3 weeks
    1 month
    As much time as I want.

  5. What type of retreat would you prefer? Check all that apply.

    Inclusive of lodging, food, training, etc.
    Inclusive of lodging and training only
    Just the training.
    I will be traveling alone.
    I will be traveling with others. Please specify how many.
    I want my own room and will pay the single supplement price..
    I don't mind sharing a room.
    Yoga & Meditation Immersion.
    Yoga & Meditation + time to have a Fun Holiday.

  6. What would you like to gain from this retreat? Check all that apply.

    A stronger more toned body.
    Greater flexibility physically, and mentally.
    Tools for managing stress.
    Tools for relaxation, and peace of mind.
    Effective breathing techniques.
    A sequence I can do on my own.
    A cultural experience.
    An exotic travel adventure.
    I just want to focus on creating good habits.
    I just go with the flow and have no expectations.
     

  7. Please use the form below to offer more feedback, request information, and to let us know your approximate budget,
    whether this is for an inclusive package, just lodging, or training,
    etc.. Be as detailed as you can.




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