Yoga Retreat

SEECA MINERAL WATERS RETREAT

Registration Form
Name

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Do you practice yoga?

yesno
Style of yoga you practice:

Svaroopa YogaHot YogaGentle YogaI don't knowOther
Years of Yoga Practice

Less than one yearBetween one to five yearsBetween six to ten yearsMore than ten yearsHave never practiced yoga
Do you have any physical limitations or concerns we should know about?

YesNo
If yes, please explain.
Do you plan to ride in the chartered bus?

YesNo
Do you have dietary restrictions/preferences?

YesNo
If you answered yes please explain.
Will you be sharing a room

YesNo
What your roommate's name
What is your roommate's email address?
example@example.com
What is your roommate's phone number?
Please enter a valid phone number.
Are you ready to register?

Enrollment Fees include program, round trip transportation, your room and five meals. See details below.
All inclusive Retreat Fees with Transportation from San Diego

Total All Inclusive Retreat Fees with transportation:

Single room and meals:
$631.86/pp
Shared room and meals (2 queen beds):
$527.55/pp

Without Transportation:

Single room and meals
$476.86
Shared room and meals (2 queen beds):
$372.55

Your registration fees today will cover your meditation and yoga to book your room you will contact the hotel directly and utilize the group code provided.
Which accommodations will you be paying for single or double

SingleDouble
Retreat Payment
prevnext( X )
SEECA Mineral Water Retreat This payment is for the yoga and meditation program.
$343.00 Quantity

Total

$0.00

Pay with Credit Card

Should be Empty:

SEECA MINERAL WATERS RETREAT

Are you ready to register?