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YAKU RETREATS
INFORMATION REQUEST
Complete Name
First Name
Last Name
E-mail
example@example.com
Phone Number
-
Area Code
Phone Number
Why would you like to be part of Yaku Retreats?
Which retreat are you most interested in?
Colombian Amazon Retreat
Ecuadorian Andean Zone Retreat
Costa Rica's Retreat
Do you prefer an individual or group retreat?
Individual
Groupal
How much time do you have available for a retreat experience?
1 - 2 days
4 -5 days
10 days
2 weeks or more
Would you like to contribute to conservation or nature preservation actions?
Yes, I would like to contribute
I'm not interested in this
Are you interested in taking self-knowledge workshops such as Yoga, Arts, Music, Meditation?
I'm mostly interested in Yoga & Meditation
I'm more into Arts & Music
I'm not interested in any kind of workshop
I am willing to try everything!
Do you have any medical conditions we should know about?
Do you have any specific question or comment you'd like to share with us?
How do you feel about our project so far?
1
2
3
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5
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