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| Home Address * |
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Mailing Address (if different from Home Address) |
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City * |
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Country * |
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| Postal (Zip) Code * |
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Mailing Zip Code (if different from street address) |
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| Other Personal Information |
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| Contact Information |
| How can we get in touch with you? |
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| Phone * |
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Extension |
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| Fax |
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E-mail * |
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Secondary E-mail |
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| Allergies/Disabilities |
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| Discount Code |
If you were given a promotional code on a mailing or postcard,
OR
if you qualify for the Early Bird Registration deadline, please enter the code in here.
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| Discount/Coupon Code |
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| Additional Instructions / Personal Goals |
Please use this space to provide a few goals that you would like to acheive while on this retreat. We conclude our retreats with a closing ceremony, a time for you to reflect on your experiences. If you know what you wish to achieve before coming you will have a greater opportunity for success. Also, if you have any special instructions for the registrar regarding your registration please insert them below.
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| Please Indicate the Courses/Events You Plan on Attending |
| Check ALL that apply. The retreat schedule will be based on interest in each event. (Not all events may be available) |
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| Other Activities May Include Surfing, Hiking, Birdwatching, Siestas, Body Surfing, snorkeling, oyster eating |
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| *Oother activities not included in the retreat schedule may cost extra. view activites section for more details. |
I have previously participated in a Sky Mountain / Body Balance Retreat |
I would like to receive news updates via email
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| How did you hear about this event? |
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By submitting this registration form you agree to the terms and conditions of Sky Mountain's Retreat Policy
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