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Spring Renewal Retreat Registration
April 7 - 10, 2022
Bell Valley Retreat
Boonville, CA
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Name
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Gender
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Birthdate
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Email
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Phone number
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Emergency Contact (name and phone)
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Please briefly describe your background with yoga and meditation
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How did you hear about this retreat?
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Room selection
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Main house (single)
Main house (double)
Barn house (double)
Barn house (triple)
Women's bunk house
Bell Tent (single)
Bell Tent (double)
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Roommates (*if applicable)
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Payment method ($325 deposit to secure reservation, or pay in full now / balance due no later than March 7)
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Check mailed to Sheana O'Sullivan, 90 Fountain St, No 3, San Francisco, CA 94114
Venmo: @Sheana-O (last 4 digits of phone: 5867)
Zelle:
sheanaos@gmail.com
Paypal:
sheanaos@gmail.com
(includes a 3% service fee unless you use the ‘friends and family’ option)
Other:
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Dietary Restrictions (all meals will be vegetarian)
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None
Gluten free
Dairy free
Vegan
Food allergies:
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Injuries / physical concerns:
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Are you interested in receiving bodywork during the retreat? Note: This will be offered on a first come first serve basis as spots are limited.
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Participant Agreement: Please not bring any altering substances to the retreat. Learning to relax into silence with a clear mind/body is integral to staying conscious and connected to the internal shifts of healing that are possible on retreat.
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Cancellation Agreement: Cancellations made before March 7 will receive a full refund. Any cancellations made after March 7 are non-refundable. Exceptions will be made if you test positive for Covid within 14 days of the retreat.
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Liability Agreement: I release Monique Haan and Sheana O'Sullivan/Sheana O Yoga from liability, which may arise from any claims by me or any third party in connection with my participation in the retreat.
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I agree
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