Name *

First Name

Last Name

Phone *

(###)

###

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Do you have any accommodation preferences?

Private Room

Shared Room

No Preference

By submitting this application, I confirm that all the information provided is true and accurate to the best of my knowledge. I understand that participation in the YogaKula retreat is voluntary and that I am responsible for my own well-being during the retreat. I agree to abide by the guidelines and instructions provided by the retreat organizers for the safety and enjoyment of all participants. I confirm that I have read the retreat cancellation policy. *

Yes