Maya Retreats Registration

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MAYA RETREAT REGISTRATION

To register for any upcoming Maya retreat, complete this online form and make deposit payment in whatever manner is most convenient. Once we have received this registration form, we will send a confirmation and any additional information or further instructions to complete your reservation. If you have not received an e-mail or phone confirmation within 72 hours of submitting this registration, or if you prefer a hard copy registration form, please contact us by phone 425-271-0200 or e-mail. Thank you!

* Indicates required field

Retreat *

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

Emergency Contact 1: Someone not travelling with you *

First

Last

Emergency Contact Phone *

Dietary Preference Details *

Lodging Preferences *

Double/Triple Occupancy with Other Retreat Participants as Determined by Maya Journeys (indicate any requests or concerns regarding assignment below) Occupancy with other Registered Guest(s) of My Choice Designated Below: (Indicate whether shared or separate beds) Single Occupancy (upgrade fee due with final balance)

Lodging Preference Details *

Medical/Mobility Issues *

Medical/Mobility Details *

Deposit Payment Options: A $200 deposit is required to reserve a spot in any retreat. This deposit is non-refundable under most circumstances. *

I have a gift certificate or pre-paid voucher, number is below. I pre-paid in the studio or by mail. I pre-paid online. E-mail me a link to pay online. I will call 425-271-0200 to pay by phone. I sent/am sending check to studio address below.

Voucher/Gift Certificate/Receipt # *

Promo/Discount Code *

Cancellation Policy: Check boxes to indicate agreement with policy. *

The retreat deposit is non-refundable, except in the event that registration is denied for any reason or retreat is cancelled. Under special circumstances, it may be transferrable at the discretion of Maya Whole Health Studio. If you pay a deposit and fail to pay the balance on your reservation by the due date, your deposit and reservation may be forfeited. Maya Whole Health Studio is not responsible for expenses incurred in preparation for any cancelled trips, such as airline tickets, or for costs incurred due to travel delays, flight cancellation or illness. If this is a concern, we recommend purchasing Travel Protection Insurance through your preferred travel agent. Maya Whole Health Studio reserves the right to refuse registration for any reason within the bounds of non-discrimination protection.

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