Thank You!

Thank you for choosing Via Yoga for your upcoming vacation destination! We are excited you’ll be joining us and looking forward to meeting you in person. Next (within 24 hours) you will receive a welcome email from us confirming your registration. Included will be a bit more information about what to expect and how to prepare for your vacation.

In the meantime we’d like to get to know you better to help us prepare for your retreat! Please take a moment to answer a few more questions for us, and we promise no more homework after this!

First Name: ^*

Last Name: ^*

Phone: ^*

Email: ^*

Street:

City:

State/Province:

Zip:

Retreat Date:

How did you hear about us:

Are you traveling with anyone? If so please list name:

What style yoga do you practice and/or prefer:

How long have you been practicing yoga and what are your expectations of the classes:

To surf or stand up paddle board, that is the question! If you are unsure we suggest starting with surfing as the lessons are progressive:

Do you have any surfing experience? If so please describe:

Do you have any major injuries or medical needs that we should be aware of:

Do you have any allergies or taking any medications that we should be aware of:

Do you have any dietary needs (i.e. vegan, vegetarian, etc)? Please list any requirements you have and we will do our best to prepare for those during your stay:

What are your expectations for the week with us:

Emergency contact:

Please check the box to acknowledge you agree to the Terms of Service (link below). ^*

Click here to review the Participant Agreement and Terms of Service

Questions? Don’t hesitate to reach out info@viayoga.com

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