Hamara Retreat Registration Form 2023 ~ Rosemary Garrison Yoga

Personal Information

Name*

First Last

Email*

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Phone*

Housing

Room Selection*

Dorm: $2,200 before February 15th/ $2,500 after February 15th 2023
Quad: $2,550 before February 15th/ $2,850 after February 15th 2023 - SOLD OUT
Triple: $2,700 before February 15th/ $3,000 after February 15th 2023 - SOLD OUT
Double: $2,900 before February 15th/ $3,200 after February 15th 2023
Single: $4,500 before February 15th/ $4,800 after February 15th 2023

If you would like to be placed on a waitlist for this retreat, please contact Rosemary here.

Shared Casa Grande*

Quad Room*

Triple Room*

Double Room*

Private Room*

Yoga Experience & Interest

Level of Yoga Practice*

Beginner / less than 100 practice hours
Intermediate / 100-1000 practice hours
Advanced / over 1000 practice hours

Are you currently a yoga teacher?

Yes
No

Where did you learn about Rosemary's teachings?

Would you like to receive the Rosemary Garrison Yoga Newsletter?*

Yes
No

Gender*

Female
Male
Transgender

Would you like to receive information on future Women's Retreats?*

Medical Information

Are you under the care of a physician and/or chiropractor for any physical or medical condition?*

Yes
No

Please Explain*

Do you currently have any injuries or health conditions?*

Yes
No

Please Explain*

Do you have any food, medication, or environmental allergies?*

Yes
No

Please Explain*

Dietary Information

Do you have any dietary restrictions?*

Yes
No

Please Explain*

Emergency Contact Information

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Email*

Relationship*

Additional Message/Information

Yoga retreat pricing above includes lodging, three meals per day, and related taxes and fees; airfare/transportation costs are not included in retreat pricing. Retreat deposits are non-refundable; in the event of cancellation made prior to February 5th, 2023 your entire payment will be refunded less the $575 deposit.

Your signature below certifies that the information provided herein is true and correct, and that you accept the outlined pricing and terms of participation in the Rosemary Garrison Yoga Retreat on March 18th- 25th, 2023 at Haramara Retreat

Acknowledgement*

I Agree to the Terms of the above Agreement of Release & Waiver of Liability

Your participation in this retreat may include photographs on a few occasions. Your signature certifies that you release the use of these images to Rosemary Garrison Yoga for use with marketing and design.

Acknowledgement*

I agree to the Terms of the above Media & Copyright Agreement

Signature*

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Total

$0.00

Phone

This field is for validation purposes and should be left unchanged.

Haramara Retreat Form - 2023

Personal Information

Housing

Yoga Experience & Interest

Medical Information

Dietary Information

Emergency Contact Information