Fall 2021 Weekend Yoga Retreat Thursday – Sunday, October 21 – 24, 2021 Name(required) Email(required) Home Address(required) Cell Phone Number(required) Yoga Experience(required) Never tried it! Beginner Intermediate Advanced Health Concerns?(required) Emergency Contact Name(required) Emergency Contact Phone Number(required) Payment Options - please select how you plan to pay (we will follow up with instructions based on the option you select)(required) Cash Check Paypal (*extra fee) Expected mode of travel:(required) Driving Flying If you are planning to drive, would you be interested in carpool/caravan?(required) Yes No N/A-I am flying. Additional Questions or Comments? Submit Δ
Marci Becker Wellness 