upcoming retreats
about us
about belize
info for instructors
guestbook
photos
contact us
r
egistration & travel
terms
what to bring
r
egistration
First name:
*
Middle name:
*
Last name:
*
* name as shown on passport
Date of birth:
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
Year
Gender:
Male
Female
Email:
Phone:
Address:
City:
State:
Zip:
Group name:
Retreat:
Eco-Adventure
Dates:
Occupancy:
Shared
Single
Triple
Quad
*surcharge for single occupancy
Roommate preference:
(if applicable)
separate beds
shared bed
Dietary restrictions:
vegetarian
vegan
allergy *
other*
*please specify below
Additional comments or information:
Mat Rental:
$25 for the week
Yes
No
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Copyright 2008 Belize Yoga
Belize Yoga
Caye Caulker, Belize, Central America
US Phone: 1-888-665-1350
Belize Phone: 664-9444
info@belizeyoga.com