Registered Guest Information
Select Retreat
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Please Select
Panama - 2026
Iceland - 2026
Full Name (As shown on Passport):
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First Name
Middle Name
Last Name
Preferred Name
Home Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Cell/Mobile Number:
*
+01 for USA
Format: +00 (000) 000-0000.
Please confirm that you have WhatsApp available on your cell/mobile phone?
*
Yes, I'm ready!
No, I will install it prior to travel.
Email Address:
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Confirmation Email
Emergency Contact Name
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First Name
Last Name
Emergency Contact Phone Number
*
+01 for USA
Format: +00 (000) 000-0000.
Passport Information
Passport Number
*
Passport Expiration Date
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-
Month
-
Day
Year
Date
Place of Birth
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Nationality
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Date of Birth
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Month
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Day
Year
Date
Upload Passport
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Browse Files
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Sex
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Male
Female
Non-Binary
Dietary Preference
*
No Restrictions
Dairy Free
Gluten Free
Ovo-lactarian
Pescatarian
Vegan
Vegetarian
Other
Please note that the places to which we travel internationally may not be able to cater to every dietary preference but will be mindful of allergies and restrictions. We ask that you carefully consider a preference vs. a need when making your selection. Also, please commit to whatever you choose. Our vendors prepare for arrival by ordering what is needed and on the spot “flexatarianism” creates challenges, particularly in remote locations.
Dietary Definitions:
Ovo-lactarian: Primarily a plant based diet that includes eggs and dairy products
Pescatarian: Diet that includes fish but not other meats
Vegan: Plant based diet, no animal products at all
Vegetarian: Plant based diet that includes dairy products and honey
Other Dietary Preferences:
Allergies / Medical Conditions
*
Yes
None
Allergies / Medical Conditions Description
Do you wish to receive hands on Assists (physical adjustments) during yoga?
*
Yes
No
Do you speak Spanish?
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Please Select
Fluently
I can get by with a little help from Google translate.
If you need a bathroom or a beer, I've got you. Otherwise, no.
Nope
Transportation Information
List all flights
*
Will you be staying at a hotel in Marrakech either prior to or immediately following the retreat? This information is necessary to ensure your pick up and drop off information is accurate.
Yes
No
Pre-retreat Hotel Information
*
Hotel Name & Address
Check in Date
*
-
Month
-
Day
Year
Date
Check out Date
*
-
Month
-
Day
Year
Date
Are you doing the tour on February 7th?
*
Yes
No
Hotel Information
*
Hotel Name & Address
Check in Date
*
-
Month
-
Day
Year
Date
Check out Date
*
-
Month
-
Day
Year
Date
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