Retreat Registration

I’m so excited you've landed on this page and will be joining me in Kyoto, Japan!

I know there’s a lot here, but let’s get all of this out of the way so we can talk yoga and all things Kyoto!

By submitting this form, you agree to the Retreat Terms & Conditions (link below)

Retreat Terms & Conditions

Participant Information

Name

First Name

Last Name

Birthdate

MM

DD

YYYY

Email

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

What room type would you like?

Double Occupancy Deluxe Twin Room ($2,950 per person)

Double Occupancy Garden View Terrace ($3,250 per person)

Double Occupancy Kawarmachi Terrace Suite ($3,550 per person)

Single Occupancy Superior Room ($3,450)

Single Occupancy Garden Deluxe Terrace ($3,650)

If Double Occupancy, what is the name of the person you will room with? (they need to complete a form also)

Have you practiced yoga before?

If yes, what type of yoga have you practiced? How long have you been practicing?

Do you have any health limitations or physical injuries? Please indicate if you have any major health issues (ex: blood pressure, asthma, diabetes, seizures, etc.)

Do you have any special dietary requirements? (ex: gluten-free (please specify if you are celiac), allergies, vegan etc.)

What inspired you to come to this retreat?

What are you most excited about for this retreat?

Are there any additional questions or messages you'd like to send me?

By submitting this form, I agree to all of the Retreat Terms & Conditions. Finalize your registration and save your spot by submitting a non-refundable deposit of $500 (per person). Payments can be made by Venmo: @AshleyDongCurran, Zelle or check.

I agree to all of the Terms & Conditions (link above)