Tailor Your Retreat

Only complete this survey if you are confirmed to attend the retreat. If looking to contact the hosts, click here instead.

Tailoring Your Retreat Experience

This questionnaire is designed to tailor your Yosemite Retreat, such as dietary needs, types of activities desired; as well as, help us prepare for workshops like Astrology: Veil of Compassion, which requires birthdate, location and for the most accurate reading, time. There are a few terms and highlights included as well. Thank you for helping us co-create your experience.

* Indicates required field

Name *

First

Last

Phone Number *

Email *

Verify Email *

Are you pregnant? *

Yes No

How did you hear about this retreat? *

What inspired you to book this retreat or what otherwise are you looking to get out of this retreat? *

Do you have a history of physical injury/illness that might affect the practice of yoga? *

Yes (please describe below) No

Please describe 'other' health restriction: *

What is your yoga experience? *

New to yoga (beginner) I know yoga but don't practice regularly (beginner to intermediate) I have a regular yoga practice (beginner to advanced) I am a yoga teacher (intermediate to advanced)

Do you follow any of the these dietary restrictions? (Please select all that apply.) The list below are dietary needs easily met at the cafe, but if your 'other' option is doable, the cafe will add something to meet your needs. *

I have no dietary restrictions Vegan (zero animal food) Vegetarian (might include eggs and dairy) Pescatarian (adds fish to otherwise vegetarian or vegan) Dairy-free Gluten-free Other (please describe below)

Please describe 'other' dietary restrictions: *

Your meal passes cover breakfast, lunch and dinner - with an OPEN menu. However, due to the size of our retreat and the extra time and care it takes to modify orders, please limit menu changes. Omissions are easier than add-ons. Special add-ons like bacon or avocado will cost extra beyond what's covered in your meal pass. Chef Talia and Stephanie have added a few RETREAT special items to the menu - all of which are vegan and gluten-free BUT extra special. *

I have read and agree to the above cafe terms

Birthdate (MM/DD/YYYY) *

Birth City, State, Country *

Birth Time (00:00 AM/PM) (leave blank if unknown but try your best to find out) *

Where do you live now (city, state)? *

Describe 'other' by listing anything you believe we are capable of providing and we will consider adding it. *

Anything else you'd like to add or request we include? *

Submit

Tailoring Your Retreat Experience

We Would Love to Have You Join Us!