January 2026 Costa Rica Retreat Form
Please fill out this short form.
Your Contact Info
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Preferred way to contact you
*
Please Select
By E-mail
By Phone
Both
Your Room Preference
Which type of room are you interested in? Note: Private rooms are first-come, first serve.
*
Private Queen Room *Only 1 available*
Shared Double Room *Only 3 shared rooms available*
Shared Triple Room *Only 3 shared rooms available*
If you have selected any Shared Room and you would like to request your roommate, please share the name of the person(s) you would like to share the room with, so we may better coordinate rooms.
Pricing
Book with a friend and you each will receive $150 off pricing when you reserve your spots together! Below pricing is per person.
Select room:
*
$3,520 Private Queen Room *Only 1 available*
$2,970 Shared Double Room *Only 3 shared rooms available*
$2,750 Shared Triple Room *Only 3 shared rooms available*
Payment
Venmo/Zelle/Check/Paypal accepted. Credit card accepted with additional processing fees. Full retreat payment is due by December 26th, 2025.
Are you interested in using a payment plan? Note: Final payments are due by December 5th, 2025. Payment plans and payment schedules will be sent separately.
Yes, I would like to pay with a payment plan.
No, I will pay initial deposit and remaining balance.
Food preferences
Select your food preference
*
Vegan
Vegetarian
Fish
No preference, open to any
Please share any special food considerations that you may need:
Extra activities
Are you interested in surf lessons? Surf lessons are additional pricing.
Yes
No
Maybe
Are you interested in massage services? Massages are additional pricing.
Yes
No
Maybe
Any questions or comments:
*You will receive an e-mail confirmation of your reserved retreat spot after deposit has been paid.
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