FlyDog Yoga Retreat Registration Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Phone *Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmergency Contact Name *Emergency Contact Email *Emergency Contact Phone *Which retreat are you registering for? *Select Your RetreatBend of Ivy - Marshall, NC (7-11 July, 2021)How did you learn about our retreat? *Select OneI'm a student at FlyDog YogaFlyDog Yoga WebsiteYoga TeacherFriendSocial MediaParticipants in this program are expected to have received their COVID vaccination (1 or 2 shots) or be willing to provide a negative COVID test within 3 days of the start of the retreat. Are you willing to adhere to these protocols? *YesNoLodging OptionsWhich Lodging option is your first choice? (* Earlybird Price through May 21st) *Select OneSingle Room, King Bed: $1071/45* / $1,190.50Double Room, King Bed: $927.45* / $1,030.50Double Room, Twin Bed: $878.85* / $976.50Which Lodging option is your second choice? (* Earlybird Price through May 21st) *Select OneSingle Room, King Bed: $1071/45* / $1,190.50Double Room, King Bed: $927.45* / $1,030.50Double Room, Twin Bed: $878.85* / $976.50If you would like to share a room with a specific person, please include their first and last name here.MealsPlease indicate any dietary restrictions or special requests below.Optional ActivitiesPlease indicate your interest in the optional activities below. Please select as many as you would like. Indicating an interest in an activity is not a commitment to participate. Additional costs may apply and activities will be coordinated through additional correspondence with those registered for the retreat. (Use the Control or Command key to select multiple options)Select as many options as you'd likeTrip to Asheville, NCTrip to Biltmore EstateWine TastingWhitewater RaftingZipline AdventureHorseback RidingAbout YouWhat do you hope to experience and learn from this retreat? *Describe your yoga practice. How long have you been practicing yoga? How often do you currently practice? *How has yoga impacted your life? What do you love about it? What qualities does it enhance in your life? *Any additional questions or comments?Submit
