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Retreat Interest Form
1.
Which trip are you interested in joining?
African safari
Baja grey whales
Arctic orcas
2.
What is your intention in coming away with us?
3.
Do you have any dietary preferences?
4.
Do you have any allergies?
5.
What is your yoga experience?
Beginner (I have tried it out once, or have never tried it out)
Intermediate (I attend classes but infrequently)
Advanced (I have a personal movement practice daily or weekly)
6.
Do you have any chronic or new injuries?
7.
What is your occupation?
8.
What is your full name and phone number?
9.
What is your email address?
10.
Are you ready to invest in your mental, emotional, and physical health?
Yes
No