So Cal Retreat 2018 Registration Form The Registration Process: 1. Fill out online application below. 2. Sign up on Mindbody & submit $500 deposit online or in person. 3. Pay in full by July 20, 2018.4. Please wait until after July 20, 2018 to book your flight. We are beyond thrilled and honored to guide, nourish, and create an inclusive lifetime experience with you. Meet you at the beeeeeeeeeach, where a sunny savasana is always on the house! Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Date of Birth* MM DD YYYY Emergency ContactPlease include the name of someone not traveling with you that we can contact in case of an emergency.Name* First Last Relationship to You*Phone*Retreat QuestionnaireRoom Choice*See descriptions on our retreat page: http://www.dragonflyhotyoga.com/so-cal-yoga-retreat-2018/Yellow Suite - Double $2800 per personYellow Suite - Single $5000 per personStandard Room - $2650 per personRoommate RequestIf you are coming with a friend/partner and plan to room together, please put his/her name here. Note: If you plan to book either Master Suite, or the Yellow or Plum Suite, you must sign up with a roommate.Dietary restrictions or allergies*Every effort will be made to accommodate dietary preferences, but sorry, we cannot guarantee it, especially if your list is long or complicated. We will reach out to you if there are any issues.Medical IssuesAre you currently experiencing any injuries, medical conditions, mental health issues, or taking any medications that could potentially affect your participation in this retreat? If yes, please explain:Will you be taking the group transportation service from/to the San Diego airport to the Oceanside retreat home?*Your flight must arrive before 3pm on Sunday, September 23rd, 2018 and you will be dropped off at the airport by noon on Saturday, September 29th, 2018 to take the group transportation.YesNoNot SureWould you like to go on the optional golf outing?*Golf outing is approximately $200 extra and must be reserved by July 20, 2018.YesNoNot SureWould you like to go on the optional SUP Yoga outing?*SUP Yoga outing is approximately $100 extra and must be reserved by July 20, 2018.YesNoNot SureAnything else you think we should be aware of, or any other questions or concerns?I have submitted my $500 deposit*If you haven't already, please pay your deposit here (Click the "Sign Up" button): https://clients.mindbodyonline.com/classic/ws?studioid=16557&stype=-8&sTG=65&sView=day&sLoc=0 Thank you! Yes No Refunds & Cancellations*I understand that my deposit is non-refundable. I also acknowledge that I must pay in full before July 20, 2018. I understand that if I cancel before July 20, 2018, any payments made will be refunded minus my $500 deposit, if I cancel between July 20 and August 23, 2018, 50% of the trip price will be refunded, minus the $500 deposit, and if I cancel after August 23, 2018, 100% of the trip price will be forfeited. I understand exceptions cannot be made for any reason, including weather, injury/illness, or personal emergencies, no refunds or credits will be given for failure to attend or failure to complete the retreat, or for arriving late or leaving early. I understand I am advised to purchase my own travel insurance. I agree Included Costs*I acknowledge that costs associated with lodging, food, transportation and fees associated with daily excursions, and twice daily yoga and meditation practices are included. I acknowledge that costs associated with airfare, flight changes, airline baggage fees for any and all baggage, medical or travel insurance, gratuities and taxes for personal services, specialty beverages or alcohol (besides included winery tour), food (aside from prepared meals and $90 stipend for restaurant outings) shopping excursions, museum or zoo entry fees, golf outing, or transportation to the retreat outside of planned pickup and drop off times, are not included. I acknowledge I am advised to wait to book my flight after July 20, 2018, and Dragonfly Hot Yoga is not able to offer refunds for any airfare costs, even if the retreat is cancelled by Dragonfly. I agree Waiver & Liability ReleaseI have read and agree to the Waiver of Liability and Release Agreement.Full Legal Name* First Last Today's Date* Date Format: MM slash DD slash YYYY Signature*I understand that checking "I agree" constitutes an agreement and acknowledgment of the waiver and liability release, refund and cancellation policies, and included costs. I understand that checking "I agree" is a legally binding signature and contract with Dragonfly Hot Yoga, LLC. I agree