Dolomites with Ai and Mark July 11-17, 2019

Please select: *

Mr. Mrs. Ms.

Full Name *

First Name Last Name

E-mail. Please be sure to enter this correctly. VERY IMPORTANT!! *

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Phone Number *

Area Code Phone Number

Cell Phone Number

Area Code Phone Number

Passport Number

Passport Expiration Date: *

Emergency Contact Name *

Emergency Contact Phone Number *

What airport will you be departing from? *

ROOMS and ROOMMATES:

If you do not have a roommate, we will tryp to pair you with someone of the same sex to share a room. You will each have your own bed. If you have a friend joining you, please let us know who you would like to be paired with. We cannot guarantee a triple room price until we have enough participants to fill a triple room. We will do our best to help you though.

Please indicate your room preferences here:

Select one: *

Double Occupancy Room Share Triple Room Share Single in Single Room Single in Double Room

If you selected double or triple occupancy above, please check one:

1.) I do not have a roommate(s) and would like to be paired with someone 2.) I would like to room with my friend(s). Please write their name(s) below.

If you selected choice #2 above, please fill in the name of your friend(s).

TRAVEL INSURANCE

All deposits and payments are non-refundable. It is highly recommended that you purchase travel insurance to protect your investment and your health and well-being. It is important to arrange travel insurance before traveling, covering for medical expenses due to illness or injury, the loss of baggage and travel documents, plus cancellation or curtailment of your journey. Suggested companies are: www.worldnomads.com, www.travelex.com or www.statravel.com.

DEPOSIT REQUIRED TO RESERVE YOUR SPACE

A non-refundable deposit and this completed and signed registration form will reserve your space. A deposit for the amount listed on the Retreat webpage is due to hold your space.

Deposits can be made by check, credit card via Pay Pal, or Venmo. Once this form is completed, you will be sent instructions via email on how to send in your deposit.

All deposits and payments are non-refundable. If retreat sells out AND you find someone to take your spot, a partial refund may be given at Retreat Savvy's discretion less a $300 administration fee.

If you pre-registered to hold your space or are on a payment plan, your payments and balance must be paid by the due date or you risk losing your space and your deposits/payments. (Please see Retreat Savvy website for your retreat's due date.) All registrations after the early-bird date must be paid in full at the time of registration.

YOUR FLIGHT INFORMATION and GROUND TRANSPORTATION:

Please see the Travel Information webpage for flight information and ground transportation information. Please coordinate with Laura at Retreat Savvy when booking flights. Retreat Savvy can help guide you or organize your ground transportation to and from Cortina d'Ampezzo. Please email final flight itinerary to Laura at: laura@retreatsavvy.com.

HIKING

Please let us know about your hiking interests and experience so that we can better serve you.

Are you interested in hiking in the Dolomites?

YES! NO! Yes, but only a little!

If yes, do you have experience hiking?

YES NO A little.

What is your ideal length for a hike?

5-6 miles 7-8 miles 9-10 miles 10 miles or more! it doesn't matter, just get me out in nature!

What is your ideal elevation gain?

500 - 1000 feet 1000 - 2000 feet 2000 - 3000 feet 3000 - 4000 feet more than 4000 feet it doesn't matter

Please select which one fits. I am interested in taking cable cars and/or lifts to the top and:

having lunch at the top, skipping the hiking and taking the lift back down. Having lunch and taking a very short hike. Having lunch and hiking down. Skipping the lift and hiking up and down! Shopping!

YOGA & HIKING

Please tell us a little about your yoga practice and hiking experience so that we can better serve you.

How long have you been practicing yoga?

How often do you practice yoga?

What style of yoga do you practice?

Have you tried other styles? If so, what styles? And what did you like or dislike about them?

Who are your primary teachers?

Why do you practice yoga?

Do you have a regular meditation practice?

Do you have any physical limitations or injuries we should be aware of?

Please describe your hiking experience. How much hiking experience do you have? Have you done any big hikes? How much elevation gain are you comfortable with? How long in time and distance are you comfortable with?

Please include anything else you would like us to know:

Please click here to read the Terms & Conditions.

Be sure to click below *

I agree to the terms & conditions.

Use your mouse to sign below.

Signature *

If you have any questions or problems with the registration process, please contact Laura at laura@retreatsavvy.com. Thank you.

Retreat Registration Form

Climbing the Inner Mountain Hiking & Yoga Retreat in the Dolomites with Ai Kubo and Mark Silva.