WOMEN IN THE ROUND 2024 -- Participant Name *

First Name

Last Name

Participant Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Participant Phone *

Country

(###)

###

####

What type of phone is the above? *

Mobile

Landline

Emergency Contact [someone NOT traveling with you] *

NOTE: This should be a person NOT traveling with you.

First Name

Last Name

Emergency Contact Phone *

Country

(###)

###

####

What type of phone is the above? *

Mobile

Landline

Alternate Emergency Contact (optional)

First Name

Last Name

Alternate Contact's Phone (optional)

Country

(###)

###

####

What type of phone is the above?

Mobile

Landline

What special dietary needs do you have? [PLEASE NOTE -- The cooks will do their best to address special dietary needs; however, they may not be able to fully address all needs in all cases. The food is fresh and localy sourced -- the cooks do not have access to all of the ingredients and/or preparation options that you may be accustomed to at home. Each villa has a fully equipped kitchen, and you are welcome to prepare your own snacks or to have some of your own food on hand as a supplement to ensure your individual needs are met.] *

Check all that apply.

None (no special dietary needs)

Vegetarian

Pescatarian

Vegan

Gluten-free

Dairy-free

Allergies/Other (explain below)

What type of room would you like (select one)? [NOTE -- All prices are per person.] *

DOUBLE Occupancy [$2,095 Early Bird Rate until Dec 1, 2023; $2,295 Standard Rate after Dec 1, 2023]

SINGLE Occupancy [$2,695 Early Bird Rate until Dec 1, 2023; $2,895 Standard Rate after Dec 1, 2023]

For Double Occupancy, please select one of the following.

I would like the retreat team to match me with a fabulous roommate.

I have a roommate. I will be sharing a room with ____________ (please enter name and/or comments below)

PAYMENT REQUIRED WITH REGISTRATION -- (1) If you register BEFORE December 1, 2023, a $500 Nonrefundable Deposit reserves your spot, with the balance due December 1, 2023. [NOTE: You are invited to pay the Full Retreat Fee at the time of registration if you are able to do so.] (2) ON OR AFTER December 1, 2023, the Full Retreat Fee must be paid at the time of registration. See Cancellation Policy below. PLEASE SELECT YOUR PAYMENT AMOUNT BELOW. *

FULL Retreat Fee (REQUIRED if registering on or after December 1, 2023)

$500 Nonrefundable Deposit (Balance will be due December 1, 2023)

PAYMENT METHOD -- Please select your preferred method of payment. [NOTE: Please do NOT send any funds until you receive specific payment instructions.] *

Zelle (no-fee, bank-to-bank direct funds transfer)

Credit Card [3% processing fee applies]

Check

CANCELLATION POLICY: If you wish to cancel your registration, you must notify Linda Meacci Yoga Instruction BY EMAIL at info@lindameacciyoga.com. If you cancel ON OR BEFORE December 1, 2023, your payment(s) will be refunded, minus a $500 CANCELLATION FEE (the $500 Nonrefundable Deposit covers this fee). After December 1, 2023, NO refunds will be issued UNLESS you find someone to take your spot, in which case your payment(s) will be refunded, minus a $500 CANCELLATION FEE, after payment has been collected from the new registrant. NOTE -- Linda Meacci and Linda Meacci Yoga Instruction cannot be held responsible for weather, travel issues, government actions, or other circumstances beyond their control. It is recommended that you purchase Travel Insurance to cover the nonrefundable costs of your trip. *

* I have read and agree to the above terms regarding the Cancellation Policy.

WAIVER OF LIABILITY: You, the participant, assume all responsibility of risk, injury, and personal discomfort by registering for this retreat. It is your responsibility to inform the instructor or facilitator immediately before, during, and/or after any movement/yoga practice or other activity of any pain, discomfort, and/or existing medical situations. With your signature, you release all instructors and facilitators participating in this retreat from any and all liabilities that may result from your participation in any activities, classes, or lessons associated with this retreat. *

* I have read and agree to the above terms regarding Waiver of Liability.

TRAVEL INSURANCE RECOMMENDATION: Linda Meacci Yoga highly recommends that you purchase travel insurance to cover the nonrefundable costs of your trip, including airfare, your nonrefundable deposit, and the full retreat fee, which is nonrefundable after the refund cutoff date. As a small business with financial commitments to the retreat venue and other service providers, Linda Meacci Yoga is unable to issue refunds for cancellations after the refund cutoff date, regardless the reason for the cancellation. Travel insurance is the best way to protect your financial interets in the event an unforeseen circumstance prevents you from participating in the retreat, in whole or in part. *

* I have read and understand the above Travel Insurance Recommendation.

PARTICIPANT ELECTRONIC SIGNATURE (REQUIRED): You must check the box and type your full name in the space below. By doing so, you certify that the information you have provided on this registration form is truthful and accurate to the best of your knowledge and that you have read and agree to the Terms and Conditions outlined above. *

* I certify that the information I have provided on this form is truthful and accurate to the best of my knowledge and that I have read and agree to the Terms and Conditions.