Sol-Axé Retreat Registration
  • Name*full name
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  • Email*a valid email address
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  • Phone*
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  • Occupancy*select just one
    Single
    Triple
    Double
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  • Roommate(s)*full name
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  • Participation*select just one
    Participating in Classes
    Not Participating in Classes
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  • New or Returning*select just one - returning guests receive $100 discount
    This is my first trip to Tulum!
    I'm back for more!
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  • Extended Stay*let us know how long you're planning to stay
    I'm planning to stay within the June 17-21 retreat dates
    I'm planning to throw in some extra days of relaxation
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  • Dietary Restrictions*Amansala Resort is happy to accomodate your dietary needs
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  • How Did You Hear About the Sol-Axe Retreat?*
    Raffaella
    Andreina
    Alfie
    Elizabeth
    Sterling
    ODC
    Flying Yoga
    Flyer
    Online
    Friend
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  • *other
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  • Deposit Please submit your $250 deposit by February 15, 2015. To submit electronically, send your deposit via paypal to: sambaraffa@gmail.com To submit via check, send your check to: Sambaxé Dance Company 251 San Jose Avenue, Apt 4 San Francisco, CA 94110 We want to see you there! If you need to make special payment arrangements to make Sol-Axé possible for you, please don't hesitate to email Raffaella Falchi at sambaxedance@gmail.com.
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  • Additional Guests
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  • If you have additional guests in your party, please include their registration information for friend and family rates.
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  • Guest 1 Name*full name
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  • Guest 1 Adult/Child*select just one
    Adult
    Child
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  • Guest 1 Child*select just one
    under 3 yrs
    10-12 yrs
    3-6 yrs
    over 12 yrs
    7-9 yrs
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  • Guest 1 Participation*children 18 and under participate in classes free of charge
    Participating in Classes
    Not Participating in Classes
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  • Guest 2 Name*full name
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  • Guest 2 Adult/Child*select just one
    Adult
    Child
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  • Guest 2 Child*select just one
    under 3 yrs
    10-12 yrs
    3-6 yrs
    over 12 yrs
    7-9 yrs
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  • Guest 2 Participation*children 18 and under participate in classes free of charge
    Participating in Classes
    Not Participating in Classes
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  • Guest 3 Name*full name
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  • Guest 3 Adult/Child*select just one
    Adult
    Child
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  • Guest 3 Child*select just one
    under 3 yrs
    10-12 yrs
    3-6 yrs
    over 12 yrs
    7-9 yrs
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  • Guest 3 Participation*children 18 and under participate in classes free of charge
    Participating in Classes
    Not Participating in Classes
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  • Dietary Restrictions*Please include dietary needs of any additional guests in your party
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  • Comments*
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