Expression of Interest Form

Yoga Retreat Nov 14-16

Interested in the retreat? Leave your name and email, and we’ll send you more info closer to the event.
Name:

First NameLast Name
E-mail Address:
example@example.com
Phone Number:
What are you interested in?

Yoga / MovementMassagesTension Release / Body RollingMeditation / JournalingHiking / Guided Nature WalksRelaxation / Stress ReliefGroup Cooking Session
Want to reserve your spot now?

Yes, I'm in! ***Not yet, but please keep me in the loop!
*** To reserve your place, send a $100 payment via Venmo (@jjshemwell) or by check payable to Jenny Shemwell, mailed to: 5408 Anna Lane, Tuscaloosa, AL 35406.
Should be Empty:

Yoga Retreat Nov 14-16