Retreat Reservation

Event Form

I am interested in reserving this retreat

Name(Required)

First Last

Room Assignment Preference (Name of another retreat participant)

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Email(Required)

Participant Information

Level of Yoga / Meditation Experience

Medical Issues, physical limitations or any other health concerns we should be aware of

Are you able to sit on a meditation cushion comfortably for some time?

Other Special needs

Dietary Notes

All our food is vegetarian. List any other food allergies or special diet information. We will do our best to accommodate dietary needs. If you have a very restricted diet we suggest you bring your own food to supplement our meals.

Emergency Contact

Name(Required)

First Last

Phone(Required)

Terms and Conditions(Required)

I understand and accept Sanctuary of Power’s Terms of Use incl. their Registration and Cancellation Policy and Service Agreement.

I accept that I am responsible for my own Trip Insurance.

I accept the conditions of Sanctuary of Power’s Liability Waiver

I accept that Sanctuary of Power Retreats are alcohol and intoxicant free.

Typed Signature(Required)

Signature

Payment

I would like to pay: (You will receive a payment request)

Retreat Reservation

Event Form

Participant Information

Emergency Contact

Payment

Resources