Retreat + Meals + Commute Consent *By registering, I acknowledge that I have read and accept the terms and conditions contained in our Cancellation Policy.First Name *Last Name *Email Address *Phone *Billing Street Address *Apartment, suite, etcBilling City *Billing State *Billing ZIP Code *(optional) If you would like your pronouns listed on your name badge, please enter them here.Emergency Contact Name & Relation *Emergency Contact Phone *Will you be attending the full retreat (3 days) or do you need day passes? *Full RetreatDay PassesDay Passes *FridaySaturdaySundayAre you STRICTLY gluten free? *YesNoAre you STRICTLY vegan (zero dairy, eggs, etc)? *YesNoDo you have any MEDICAL dietary restrictions or food allergies that we need to know about? *YesNoPlease list your MEDICAL dietary restrictions or food allergies. *Are they LIFE THREATENING? *YesNoWhich meal(s) do you plan to have with us? (Texas Yoga Retreat is paying for all of your meals ($20/each).) *Friday DinnerSaturday BreakfastSaturday LunchSaturday DinnerSunday BreakfastSunday LunchNo MealsHow did you learn about Texas Yoga Retreat (TYR)? *Select OneTYR flyer/postcardTYR newsletterPrevious attendeeYoga teacherFriendGeneral internet searchWho referred you? *Check here if applicable (must select to get discount) staff2023100% Presenter Discount (Staff2023)Discount CodeCheck here if applicable (must select to get 10% discount)10% DiscountMeals FeeCommuter Fee - 3 DayCommuter Fee - 2 DayCommuter Fee - 1 DayDiscountTotalHow do you want to pay? *ZellePaypal Register
