Yoga Retreat Registration Form

Yoga Retreat Registration Form

Relax, Reset, Re-energize
Guest Information
Name

First NameLast Name
Birthdate

MonthDayYear
Date
Gender
Cell Number
Format: (000) 000-0000.
Email
example@example.com
Emergency Information
Emergency Contact's Name

First NameLast Name
Alt. Phone Number
Format: (000) 000-0000.
Have you practiced Yoga before?
If yes, what type of yoga have you practiced & how many years?
Do you have any health limitations or physical injuries? Please indicate if you have any major health issues (ex high/low blood pressure, arthritis, asthma, diabetes, seizures, osteoporosis, etc.)
Do you have any special dietary requirements? (eg: gluten-free (please specify if you are celiac), allergies, vegan etc…)
Peferred Package
Your preferred roommate's name
Registration Dateline : 15th May 2024

- Deposit 50% or full payment should pay to reserve the slot once you confirm

- A balance payment for all the confrimed arrangement will be required to be paid before or on 31st May 2024
Bank Transfer details: Public Bank 3402873010 (YU SOH KHENG)

The Package:-
- Inclusive 6 sessions Yoga Asana, Pranayama & Singing Bowl with 3 yoga teachers
- Inclusive 2 nights accomodations
- Inclusive 2 days breakfast
- Exclusive Lunch & Dinner (seafood/local food divide by total price or self pay resort food)
- Exclusive Transportation ( Outstation students can arrange for car pool)
- Exclusive other incidental & related expenses
Limited Slot!!!

All Level are welcome!!!
Signature
Date of submit

MonthDayYear
Date
Should be Empty: