Retreat + Meals + Accommodations 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 *Gender Identity (necessary for room assignments) (select all that apply): *WomanManTransgenderNon-binary/non-conformingPrefer not to respond(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 (you must select at least 2 days))FridaySaturdaySundayIf only wanting 1 day pass, register through Retreat + Meals OnlyRoom (for 2 Nights) *3+ Person ($240)2 Person ($270)Bath for Shared Room (for 2 Nights) *Private Bath (+$30)Common Bath (no added fee)Bath for Private Room (for 2 Nights) *Common Bath (no added fee)Bath for Private Room (for 2 Nights) *Private Bath +$40Common Bath (no added fee)Room (for 2 Nights) *3+ Person ($240)2 Person ($270)Private ($290)Bath for Shared Room (for 2 Nights) *Common Bath (no added fee)2nd Choice Room (for 2 Nights) *3+ Person ($240)2 Person ($270)Private ($290)2nd Choice Bath for Shared Room (for 2 Nights) *Private Bath (+$30)Common Bath (no added fee)2nd Choice Bath for Private Room (for 2 Nights) *Private Bath (+$40)Common Bath (no added fee)If you have a preference for your roommate(s), please list their name(s) here. If not, enter NA. *Will you be arriving after 8pm on Friday?YesNoWhat time will you be arriving? *Are 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 ($20/each)) *Friday DinnerSaturday BreakfastSaturday LunchSaturday DinnerSunday BreakfastSunday LunchNo MealsHow did you learn about Texas Yoga Retreat (TYR)? *Select OneTYR flyer/postcardTYR newsletterPrevious attendeeYoga teacherFriendGeneral internet searchWho referred you? *Discount CodeCheck here if applicable (must select to get discount) staff2023100% Presenter Discount (Staff2023)Check here if applicable (must select to get discount) pres5050% Off AccommodationsAccommodations FeeMeals FeeDiscountTotal ($)How do you want to pay? *ZellePaypal/Credit CardRegister