Retreat Registration Form

Retreat Registration Form
Name*

First NameLast Name
SUNDAY, OCTOBER 12, 2025 8:30am - 3:30pm
SUNDAY, MAY 31, 2026 8:30am - 3:30pm
SUNDAY, AUGUST 30, 2026 8:00am - 3:00pm
SUNDAY, OCTOBER 11, 2026 10:00am - 4:00pm
Email *
example@example.com
Phone Number*
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Have you practiced Yoga before?
If yes, what type of yoga have you practiced?
Do you have any health limitations or physical injuries?
Do you have any food allergies?
email: balancedsistersretreat@gmail.com
Guest Information
Thank you for registering! The cost of the day retreat is $200.

Please pay one of the following ways:

by venmo: @balancedsistersretreat (last 4 digits of phone number are 0189)

mailing a check: make payable to Balanced Sisters Retreat and mail to Jodi Short, 9345 Old Concord Blvd, Inver Grove Hgts, MN 55076

Scholarships available upon request.
Should be Empty: