BIENESTAR registration

REGISTRATION FORM

BIENESTAR Study Retreat
Mancora, Peru
November 22nd - 26th, 2018

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CHOOSE YOUR RETREAT PACKAGE *

TRAVELING *

SHARE YOUR ROOM WITH... *

NAME *

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Last

EMAIL *

COUNTRY *

PHONE NUMBER *

BIRTH DATE & YEAR *

YOGA EXPERIENCE *

FOOD PREFERENCE *

FOOD RELATED PREFERENCES OR FOOD ALLERGIES *

HEALTH CONCERNS? PLEASE SPECIFY: *

HOW DID YOU HEAR ABOUT OUR RETREAT? *

Your space will be confirmed after your full payment of the retreat package. The payment details will follow shortly. Our cancellation policy: 50% refund for all cancellations before August 31st, 2018, no refund for cancellations after August 31st, 2018. Travel and health insurances are at guest's responsibility.

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