REGISTRATION

SOMA: Movement and Nature Retreat at the Blue Zone Retreat, Tambor, Costa Rica

SOMA Retreat 2023 Registration
Address *
Address
City
State/Province
Zip/Postal
Country
Final Payment will be made via

Retreat Questionnairre


Emergency Contact for the SOMA Retreat

First Name
Last Name
Relationship to you

Agreement of Release and Waiver of Liability

I have read the above release and waiver of liability and fully understand its contents. I voluntarily agree and confirm being invited to consult legal counsel before signing below.
 

SOMA – COVID-19 Guidelines and Cancellation Policy

I have read the above release and waiver of liability and fully understand its contents. I voluntarily agree and confirm being invited to consult legal counsel before signing below.
 

Proof of Vaccination

Maximum file size: 15MB

 

Optional Activities

Please check all activities you’re interested in and include all fees in your final payment.

Final Payment, including Optional Activity Fees, Due January 15, 2023
Please mark your calendar and bookmark the link below so you can make your final payment on or before January 15, 2023.

Your final payment can be made here: www.somaticwendyelliott.com/2023-retreat-fianl-payment
PLEASE NOTE: this link will also appear in your registration confirmation email.

First Payment / Deposit

First Payment due on or before 12/01/22 / Final Payment due on or before 01/15/23

Select your desired payment option: *
To enjoy Single Occupancy in either of the Double Rooms listed above add $500
TOTAL DEPOSIT:


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