Gather to Rest: Summer Restorative Yoga Retreat Registration Step 1 of 4 25% Personal InformationName* First Last Email* Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone* Accommodations and Add-onsAll nine rooms in the retreat house have access to three shared hall bathrooms. Beds are twin-sized European-style platform beds with high quality mattresses. Linens, towels, meals, and all yoga sessions are included in the room cost. Room Selection*Prices are per room.Private Room - $525Shared Room for 2 - $1,010Shared Room for 2*Please provide the first and last name of your roommate.Food Allergies/Preferences:Food at the retreat is vegan with dairy and eggs available on the side. Nearly everything is gluten-free, including the delicious baked goods. Please list any food allergies or sensitivities if applicable.Massage*Appointments for one hour massages are available throughout the weekend. You will be assigned your appointment time upon arrival.No Massage1 Massage - $852 Massages - $170Coupon Total $0.00 Payment Method and PolicyPayment is accepted by check or Venmo, or by credit card via PayPal.Payment Method*Check or VenmoPayPalComments or Additional Information Cancellation PolicyShould you be unable to attend the retreat, your cancellation request must be received in writing via email to email@example.com by July 9, 2021 in order to receive a refund. Cancellation requests received after July 9, 2021 will be honored with proof of a positive COVID test or other documentation of illness. All refunds and credits are subject to a $25 non-refundable administrative fee. Paid registrations are transferable to another individual at any time and are not subject to administrative fees.Cancellation Policy* Yes, I read and agree to this cancellation policy. Liability WaiverI am aware that some yoga and other activities scheduled for this weekend require physical exertion that may be strenuous, and participation in yoga may result in accident or injury. I understand that it is my responsibility to consult with a physician prior to and regarding my participation in the yoga classes, workshops, private sessions, or trainings offered by Tara Lemerise Yoga/Tara Lemerise. I assume full responsibility for any risks, injuries or damages, known or unknown, which I might incur as a result of participating in this retreat. By signing, I agree to release from all liability and to hold harmless Tara Lemerise/Tara Lemerise Yoga, and Blue Mountain Retreat Center and its owners, officers, employees and agents from any claim, including but not limited to claims for property damage, personal injury, death or loss of any kind arising out of yoga classes, workshops, private sessions, or trainings. My heirs and legal representatives also forever release Tara Lemerise/ Tara Lemerise Yoga, and Blue Mountain Retreat Center from all liability. Liabilty Waiver* Yes, I read and agree to this liability waiver. CommentsThis field is for validation purposes and should be left unchanged.