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Solluna Yoga Retreats
- Elevate—Costa Rica
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Registration Form

Let's Make it Official!

Questionnairesollunayoga2025-04-16T21:17:25+00:00

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Name *

First

Last

Email *

Birth Date *

We won't tell anyone 😉

Occupation

We'd love to know what type of work you do!

Phone *

We may text or call you if necessary.

Emergency Contact Name *

Anyone you know who will support you if something happens.

First

Last

Emergency Contact Relationship to You *

How is this person related to you?

Emergency Contact Phone *

Just in case...

Arrival Date *

When are you coming?

Departure Date *

When are you leaving?

Let us know how best to support your or your guest's journey.

Retreat Questionnaire

Accommodations *

Traveling alone, with someone else or with a group? We will match you with a roommate if you are traveling solo; otherwise please indicate that you would like to upgrade and book a single room (VIP Retreat Upgrade—subject to availability).

Single and Want to Upgrade to VIP?

VIPs get their own private bungalow and an Energy Work session.

Yes
Maybe
Not at this time

Guest Name *

Your travel partner(s)

First

Last

Guest Names *

Enter names of guests, one per line.

Celebration

Are you celebrating something on this retreat, like a birthday, or life event? We'd love to help you celebrate it!

We would like to support you as best we can if you have any injuries, medical conditions, critical medications, or dietary needs.

Health Status

Have Any Injuries? *

Our instructors will attempt to accommodate any movement restrictions or pain you may be experiencing due to an injury you have suffered prior to your visit.

Yes
No

Explain Your Injury *

Please explain as best you can.

Medical Issues *

Do you have any health issues/medical conditions or injuries that we need to know about?

Yes
No

Arrival Emergency Name

Medical Details *

Please explain as best you can.

Do You Need to Take Medication? *

Yes
No

Medications *

If yes, please explain as best you can, if you are taking medications critical to your health during your stay with us.

Food

What are your primary dietary preferences? *

Tierra de Suenos offers a vegetarian menu. If someone wants to add animal protein to their meals there is a $30 charge (can be paid with final payment).

Vegetarian
Vegan
Carnivorous (Meat is +$30 per retreat)
Other—Please specify

Other *

Specify your dietary preferences. We'll try to accommodate, but cannot guarantee complex requests.

Add Meat/Poultry/Seafood to (5) of Your Meals?

We will provide a variety of animal proteins throughout your stay to accommodate your dietary preferences, limited to one of the above for up to 5 meals.

Meat
Poultry
Seafood

Food Allergies *

Check any that may apply to you or your party.

No known food allergies or no one in my party has any known allergies.
Gluten
Peanuts
Tree Nuts
Milk
Eggs
Wheat
Soy
Seafood

We're here to help with any participation questions. Please consult your physician post-injury/illness. For maximum enjoyment, arrive ready for an active and amazing time!

Fitness Info

Describe Your Fitness Routine *

What do you do for fun? (Running? Swimming?) How often, how long, and for how long? Help us prepare for your awesome time!

What is the main goal of your current fitness routine? *

Weight loss, stress reduction, feeling good, etc.

Describe your yoga experience. *

What yoga styles do you enjoy? Have you been on retreats before? Are you a teacher? Or are you new to yoga?

Yoga Practice Acknowledgement *

I understand that we will mostly practice vinyasa flow yoga, which is a challenging and vigorous style. I understand that it would be optimal for me to take a few flow classes in my area prior to the retreat, and that it is important to have a strong fitness level in order to practice this style.

Do you have any specific health and fitness goals you’d like to share with us?

What do you hope to get out of this retreat?

Please share your intentions, goals, hopes and dreams, etc.!

Do you have any questions or concerns?

Please send an email to arrange for a call if you would like to discuss.

Yes

Is there anything else that you would like us to know about you?

Fun facts? Hobbies, etc.

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