Step 1 - Fill Out Retreat Registration Form

Step1 - Fill Out Registration Form | Step 2 - Pay Using Google Checkout | Step 3 - Print off and Fill Out Retreat Planner
Step 4 - Print Off and Sign Registration Confirmation Page | Step 5 - Have Fun!

printable version
Online Version temporarily Unavailable. Please send in your registration form or email us the following

required fields are marked by a *
Retreat Information
Please select the event and Occupancy you are interested in: *
Retreat Occupancy Room Style
Personal Information
Please tell us about yourself. This information is used in our Registration Database. We promise not to share your information with anyone, ever! Please note, this information is required to make sure that you are signed up.
Prefix*            
 First Name* M.I. Last Name*

 
 
Birth Month * (i.e. 03)
Birth Date * (i.e. 12)
Home Address * Mailing Address (if different from Home Address)
Post Office Box or Suite No. City *
State Country *
Postal (Zip) Code * Mailing Zip Code (if different from street address)
Other Personal Information

Contact Information
How can we get in touch with you?
Phone * Extension
Fax E-mail *
Secondary E-mail

Allergies/Disabilities

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.
Please Indicate the Courses/Events You Plan on Attending
Check ALL that apply. Retreat activities are subject to change.
Yoga Kung Fu Qi Gung / Meditation
Tai Chi Surfing (extra) Snorkeling
Other Activities May Include Surfing, Hiking, Birdwatching, Siestas, Body Surfing, Snorkeling, etc.
*Other 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
   Yes    No
How did you hear about this event?

By submitting this registration form you agree to the terms and conditions of Sky Mountain's Retreat Policy

 

 

Early Bird Registration

You must Sign and complete your registration form and pay for your Sky Mountain Experience by the Early Bird Deadline to receive the early bird discounts.

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