Name
*
First Name
Last Name
Preferred name (if different than above):
Pronouns:
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
*
(###)
###
####
Email
*
Birthday
*
MM
DD
YYYY
Emergency Contact
*
Provide name, relationship, phone number and email please.
Favorite Color
*
T-shirt size
*
Sleep patterns: I am
*
Type of Sleeper: I am a
*
I like to sleep in:
*
Choose the best fit for you
Are you requesting to share a room with someone in particular? If so, please include their name below:
Where will you be traveling from? (Your expected departure airport):
*
Please select the one(s) that best represents you:
Choose more than one if they apply
Please check the styles of yoga you have done in the past
*
You do not need to be proficient at them. I'm just looking for what you have experienced. Please select all that apply.
Please check the styles of meditation you have done in the past
*
You do not need to be proficient at them. I'm just looking for what you have experienced. Please select all that apply.
Please list any food allergies and level of severity
*
If none, indicate that
Please list any other allergies and their severity
*
If none, indicate that
Please disclose any health concerns we should know about, including but not limited to mental/emotional, breathing/lungs, heart, muscular/joint/bone, or any body systems.
*
Thank you for your cooperation in this matter.
Would you like coffee available at the retreat?
*
Yes please
Maybe
No thank you
If yes to coffee, what would you like with it? (Cream, milk, sugar, honey, sweetener, etc.)
Have you been to Costa Rica before?
*
Yes
No
I understand I need a valid passport to attend this retreat.
*
I am aware that any physical activity, including yoga, hiking, traveling, and any other aspect of the retreat includes risks to my physical body, including death, and I agree to hold harmless Erica Onofrio, Soul to Soul, and all other involved individuals, businesses, corporations, and participants for any and all injury, including death, to my person. I understand I am willingly choosing to participate in yoga, hiking, traveling, and any and all retreat events at my own risk.
*
I am aware that any physical activity involves the risk of physical injury or death and I agree that I have spoken to my physician about my participation in yoga, hiking, traveling, and all retreat activities, or that I am willingly participating without a physician's consent.
*
I agree to pay the retreat amount as follows:
*
Choose your payment option:
I am aware of the retreat refund policy as follows: I understand there are no refunds and no exceptions after 3/1/24 unless the trip is canceled (which we do not expect). I understand that I am not able to use non-refunded monies towards services or retail provided or sold by Soul to Soul. I understand there are no exceptions to this refund policy.
*
Thank you for your understanding.
I understand that travel outside of the United States carries inherent risk and I agree to hold harmless Erica Onofrio, Soul to Soul, other retreat participants, any businesses, organizations, private owners, tour guides, drivers, or corporations that are part of the retreat from any and all injury, including death, to my person. I agree to willingly travel outside of the United States at my own risk.
*
I understand that this is a sober event and drugs and alcohol are not permitted at any time for the entire duration of the retreat. If I am found with drugs or alcohol I understand that I will be required to leave the retreat immediately and am responsible for my own transportation, food, and lodging moving forward. I understand there are absolutely NO refunds and NO exceptions in this circumstance whatsoever and agree to additional costs I may incur as a result.
*
I understand that all aspects of the retreat are optional and I am able to opt out of any yoga, meditation, journaling, ceremonies, cacao, reiki, excursions, and any and all offerings at any time.
*
I understand that the yoga taught will vary between vinyasa, gentle, and yin yoga and that it will not be specifically tailored to only my needs but that I can be given alternative poses where needed.
What are you looking to achieve from this retreat?
*
Additional information you would like to provide:
Please share any important information here:
Electronic Signature - Please sign & date:
*
First Name
Last Name
Today's Date
*
MM
DD
YYYY
