2023 Wild Women's Retreat Registration ~ Rosemary Garrison Yoga

Personal Information

Name*

First Last

Email*

Enter Email Confirm Email

Address*

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

Phone*

Housing

*

Platform tent/ Double - $1,175 before September 5th/$1,375 after September 5th, 2023
Platform tent/ Single - $1,475 before September 5th/$1,675 after September 5th, 2023
Bunkhouse/ Dorm: $1,375 before September 5th/$1,575 after September 5th, 2023 - SOLD OUT
Barn Room/Double or Triple: $1,575 before September 5th, 2023/$1,775 after September 5th, 2023
Barn Room/Single: $2,275 before September 5th, 2023/$2,475 after September 5th, 2023
Main House/ Double: $2,075 before September 5th/$2,275 after September 5th, 2023 - SOLD OUT
Main House/ Single: $2,875 before September 5th/ $3,075 after September 5th, 2023 - SOLD OUT

Platform - Double*

Platform - Single*

Bunkhouse/Dorm*

Barn Room/Double or Triple*

Barn Room/Single*

Main House - Double*

Main House - Single*

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 a yoga teacher?

Yes
No

Would you like to receive information on future Teacher Trainings?*

Yes
No

Would you like to receive information on future Retreats?

Yes
No

Medical Information

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

No
Yes

Please Explain:*

Do you currently have any injuries or health conditions?*

No
Yes

Please Explain:*

Dietary Information

Do you have any dietary restrictions?*

No
Yes

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, all meals, and related taxes and fees; airfare/transportation costs are not included in retreat pricing. Retreat deposits are non-refundable; in the event of a cancellation made prior to August 21st, 2023, your entire payment will be refunded less the $395 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 August 4th-7th 2022, at Bell Valley Ranch, Anderson Valley, CA.

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*

Total

$0.00

Comments

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2023 Wild Women’s Retreat Registration

Wild Women's Retreat 2023

Personal Information

Housing

Yoga Experience & Interest

Medical Information

Dietary Information

Emergency Contact Information