1). Your Name *
2). Your Email *
3). Your Phone *
4).Select your retreat date(s) - happens every 3rd Saturday of the month.* #01 - 23rd Novemner 2024#02 - 21st December 2024
5).Dietary restrictions NoneVegetarianVeganGluten-free
Other Dietary restrictions
6).Medical Information* (Allergies or Dietary Restrictions, Relevant Health Conditions, Please mention any medical conditions that may require assistance.)
7).Emergency Contact - Name & Number*
8).What draws you to this retreat? (Optional – share what interests or inspires you about this retreat.)
9).Have you practiced yoga or attended similar retreats before? (Please share any relevant experience.)
10).Is there anything specific you’d like to work on or achieve during this retreat?
11).Payment & confirmation required to confirm your participation before the 20th of November * Yes understood book me in & send me invoice for payment
12).Payment Details: My preffered method of payment Retreat charge - $100 (LKR.30,000) Once submitted, you’ll receive an email with payment instructions, including deposit details if applicable. Bank TransferPayPalOther
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