COSTA RICA APPLICATION

1

What is your legal name?* This field is required.

First Name

Last Name

2

What is your email address?* This field is required.

example@example.com

3

What is your phone number?

Please enter a valid phone number.

4

Which airport do you plan on travelling from?

5

Which retreat package are you interested in booking?* This field is required.Each room consists of a desk, closet, ceiling fan, AC, private bathroom with hot water shower, mini fridge, patio with chairs and a hammock.

The Luxe Package [$3500] Private or Shared King

The Basic Package [$2900] Shared Double with Shuttle

The Bestie Package [$2700] Shared Double without Shuttle

6

Deposit Fee* This field is required.All retreat packages are subject to a non-refundable $500 deposit.

I acknowledge the non-refundable deposit fee

7

Shared Accommodations[Bestie Babes + Basic Babe]

I have a babe to room with

I'd like to be paired with a babe

8

Payment PlanPayment plans are subject to additional fees.

Yes, I would like a payment plan

No, I would like to pay for the retreat in full

9

PassportDo you have a valid passport with expiry after May 15th 2026?

YESNO

10

Cancellation PolicyPrior to August 1 2025, you may cancel your retreat reservation with a full refund, minus deposit fee.

I acknowledge the cancellation policy

11

Refund PolicyAfter August 1 until October 1, you may receive a partial refund if you are able to replace your reservation with another participant, approved by Lumière by Marlies retreat administrators. Come October 2, any cancellation is non-refundable.

I acknowledge the refund policy

12

In a few sentences, please describe what called you to this retreat?

13

What is your intention for joining us in Costa Rica?What do you hope to take away?

14

Tell us about your practiceHow long have you been practicing yoga? What is your favourite part about your practice?

15

AllergiesDo you have any known allergies, and/or medical or accessibility needs we should know about?

16

How did you hear about this retreat?