"Radiance comes from
within, manifesting as
shining skin, hair and
eyes. Radiance Retreats
are a complete renewal
of body, mind and spirit"

radiance - n. 1.
the quality or state of
being radiant
radiant - adj. 1.
characterized by health,
intense joy,
adj. 2.
sending out rays of light;
bright; shining
retreat - vb. 8.
a place to which one may
retire for refuge, quiet, etc...


REGISTRATION FORM

2020 PYRENEES YOGA HIKE RESTORE RETREAT - SOUTH WEST FRANCE
Sat 26th Sep - Fri 2nd Oct 2020

Once this form is submitted, you will receive our email with more retreat information and payment methods.

Note: use the mouse or tab key to move to the next item, as the enter key will send the form before it is completed.

Name:

Email Address: (required)

(the system will only accept one email address)

Address or area where you live::

Phone (Mobile):

Additional Home or Work Contact Number (if applicable):

Date of Birth:

Gender:

Occupation (optional):

PLEASE TELL US...

Have you been to a Radiance Retreat before?
Yes

If so where:

Would type of room would you like?

Twin Share Room with own bathroom 1635 Euro
Couple's Room with own bathroom 1635 Euro (per person)
Single Room with a shared bathroom 1695 Euro

Please share your reasons for joining the retreat and what you're hoping to get out of this time on retreat:

Please let us know here if you're new to yoga; a casual or long term practitioner or a yoga teacher; how long you’ve been practicing and what style/s of yoga (if known):

Please let us know if you have any injuries; illnesses, medical conditions, allergies or anything else you think we should know about to ensure you're well cared for:

Detail here any special dietary requests you have; foods you're allergic to or any other food related requests:

Is there anything else we should know about?

Emergency contact name:

Emergency contact number:

Where did you find out about us? Please tick below or fill in the 'other' section:





(name the publication below, if known)


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