Irakleia yoga retreat - Registration form

Registration form

Stillness yoga retreat at Irakleia, 4-10 July 2025
Full name*

First nameLast name
Email*
example@example.com
Traveler info
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Sex*
Birth date*

DayMonthYear
Date
Emergency contact details*
name, phone number, email
Medical issues
enter "none" if you have no issues
Requested roommate
Full name
Accommodation Options*
prevnext( X )
Master bedroom
couple occupancy - One King size bed

€750.00 Quantity



Double bedroom
twin occupancy - Two single beds

€650.00 Quantity



Quad bedroom
couple occupancy - Queen size bed and two single beds

€600.00 Quantity



Quad bedroom
triple occupancy - Queen size bed and one single bed

€700.00 Quantity



Single bedroom
single occupancy - one single bed

€580.00 Quantity



Total

€0.00
Choose to pay*
Add your full name on the Reference line in the next step
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