Wild Woman 2025 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 - $1,350 before September 1st, 2025/$1,550 after September 1st, 2025
Platform tent/ Single - $1,650 before September 1st, 2025/$1,850 after September 1st,, 2025
Bunkhouse/ Dorm: $1,650 before September 1st, 2025/$1,850 after September 1st, 2025
Barn Room/Double or Triple: $1,750 before September 1st, 2025/$1,950 after September 1st, 2025
Barn Room/Single: $2,450 before September 1st, 2025/$2,650 after September 1st, 2025
Main House/ Double: $2,375 before September 1st, 2025/$2,575 after September 1st, 2025
Main House/ Single: $3,150 before September 1st, 2025/ $3,350 after September 1st, 2025

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, 2025, 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 October 2-5, 2025, at Whisper Tree 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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