Yoga Retreat Registration Form - Namastacey Yoga, LLC

The Magical Yuba River Summer Retreat
July 28-31, 2023

Retreat Registration Form

Thank you for your interest in a retreat with Namastacey Yoga. We are off to the Yuba River this summer! Please provide the following information here - once I have received your form I will email you with more information.

Name*
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Date of Birth
Emergency Contact (Name and Phone Number)*
Please list an dietary restrictions and known allergies to food or medicine.
Do you have any physical injuries or limitations. Please explain.
List any medication you are taking.
Room Preference
- King Deluxe (Bathroom en suite. Reserved for a couple - 1 total) $2195 Total
- King (Shared bathroom -reserved for couple - 1 room) $1995
- Queen (Shared bathroom - Couples or singles - 3 total) $1895 couple/$1095 single
- Queen + Twin (Shared bathroom - two friends or couple - 1 total) $1895
- Private Cabin (Couples or friends - 2 total) $2195
- Camp Site (4 campsites) $895 per person
- I am registering to be someone who already registered roommate. Please state name below.
If you are registering to room with someone who already reserved the room, please state their name here.
Do you need a ride
- Yes
- No
Can you drive? If so, how many people can you take?
Thank you! Once I have received your application with your room preference I will contact you to confirm. A non-refundable deposit of $500 is required to hold your spot. Final payment in full is due 60 days in advance of the retreat.

Retreat Registration Form

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