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Reservation Form

  • Please read carefully the Yoga Retreat Agreement (the "Agreement") within this reservation form. By completing and submitting this form, you agree to be bound by the Agreement between Leaves Yoga, LLC ("Company") and you. Please complete one reservation form per person. A deposit of $600 for each person is due at the time your reservation is made. This deposit is non-refundable. Full payment is due no less than 60 days prior to the first day of the retreat, i.e. by April 6, 2020. Payment can be made with a credit card on this website. Please click on the payment link on the retreat information page to make payment
  • Please enter your passport information including the number, issuing country and date of expiration
  • Please enter all medical conditions which may affect your ability to complete and enjoy this retreat. Because this is a hiking and yoga retreat, you must be in condition to walk at least five (5) miles per day for each day of the retreat in mountainous terrain. Therefore, please list all joint and spine issues you experience, their severity and whether you are under a formal or informal pain management protocol. Please list all heart, lung, and cerebral issues you experience, their severity and whether you are under a formal or informal treatment protocol. You will be required to submit a listing of necessary medications that you will be bringing with you as well as contact information for any prescribing physician.
  • Please indicate whether you will be traveling alone or with a companion and provide any companion's name. If you are traveling with a companion, please indicate whether you wish single or double occupancy. If you are traveling alone please indicate whether you wish single occupancy or assignment with another person of the same gender in double occupancy accomodations.
  • Please indicate whether you are submitting the entire fee ($1850 for double occupancy or $1950 for single occupany) or whether you are submitting the non refundable deposit of $600.
  • Please sign this agreement by entering your name in the following format: /s/ Your Name. By entering your name in this format you are consenting to the use of this entry as your legal signature for all purposes with respect to this agreement.
  • Date Format: MM slash DD slash YYYY