BIENESTAR registration

SIGN UP FORM
BIENESTAR STUDY RETREAT
22 - 26 November, 2018
Mancora, Peru

* Indicates required field

CHOOSE YOUR RETREAT PACKAGE FOR THE FOLLOWING ROOM CATEGORIES *

TRAVELING *

SHARE YOUR ROOM WITH... *

YOUR PERSONAL INFORMATION

NAME *

First

Last

EMAIL *

COUNTRY *

Phone Number *

BIRTH DATE & YEAR *

HELP US CREATE A PERSONALIZED RETREAT EXperience!

Please, provide us the following details so we can create the retreat carefully and individually.

YOGA EXPERIENCE *

FOOD PREFERENCE *

PLEASE INFORM US ABOUT ANY ADDITIONAL FOOD RELATED PREFERENCES OR FOOD ALLERGIES *

ANY HEALTH CONCERNS WE SHOULD KNOW ABOUT? PLEASE SPECIFY: *

HOW DID YOU HEAR ABOUT OUR RETREAT? *

WE WILL SEND YOU A PAYMENT INVOICE TO COMPLETE YOUR REGISTRATION. Your space will be confirmed after the full payment of the retreat package. *space is limited to the total of 9 rooms.

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 responsability. Early bird discount of 250 USD is valid until March 31st, 2018.

Submit

SIGN UP FORMBIENESTAR STUDY RETREAT22 - 26 November, 2018​Mancora, Peru

YOUR PERSONAL INFORMATION

HELP US CREATE A PERSONALIZED RETREAT EXperience!

WE WILL SEND YOU A PAYMENT INVOICE TO COMPLETE YOUR REGISTRATION. Your space will be confirmed after the full payment of the retreat package. *space is limited to the total of 9 rooms.

SIGN UP FORM
BIENESTAR STUDY RETREAT
22 - 26 November, 2018
Mancora, Peru