Retreat online Registration

Sky Mountain Retreats

Join Us!

Sculpt Your Own Retreat - Costa Rica

Links

Step 1 - Fill Out Registration Form

Step 2 - Pay Retreat Deposit via Paypal, Check or Money Order

Step 3 - Reserve Your Airline Ticket

Step 4 - Print off and fill out your Retreat Planner

Step 1 - Online Registration Form

required fields are marked by a *
Retreat Information
Please select the event you are interested in: *

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*

Suffix

Nickname

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

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.

Discount/Coupon Code

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. The retreat schedule will be based on interest in each event.


Vinyasa Yoga w/Flor	Ba Gua	Self Defense
Restorative Yoga w/Flor	Hsing Yi	Tai Chi Yang Adv
Bikram Style Yoga w/Flor	Enneagram	Qi Gung / Meditation
Tai Chi with GrandMaster Look	Beg. Kung Fu	Surfing w/ Bob
Tai Chi Yang Style Beginner	Inter. Kung Fu	Massage w/ Melissa

Other Activities Include Surfing, Hiking, Birdwatching, Siestas, Body Surfing, and snorkeling

*Massage, Surfing, Hiking, Birdwatching, and other activities not included in the retreat schedule will cost extra.

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?

Costa Rica Instructors

Cuisine

Activities

What to Bring Download

*Note to retreat participants: To receive the Early Bird Discount, the FIRST retreat deposit of $800 must be received No Later Than February 7th! PAY HERE

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