Vermont Retreat Form — Kaylie Daniels

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About & Connect

Become a Member

About & Connect

Become a Member

About & Connect

join us in Vermont

We are so excited that you are interested attending this retreat! Please help us get to know you by filling out some info below and we will be in touch shortly. Can’t wait to meet you!

Name *

First Name

Last Name

Email *

Where are you from? *

What is your gender? *

for room organization - most rooms are women only

Female

Male

When is your birthday? *

MM

DD

YYYY

Which room are you interested in? *

Red Oak (single)

Red Oak (double)

Oak

Maple

Ash

Larch

Walnut

Day Pass

First choice of room

Second choice of room

What is your favorite style of movement? (yoga, pilates, etc) *

What is your intention for this retreat? *

Are you planning to join alone or with a friend/partner?

If yes, what is their name?

Do you want help hiring a taxi to the venue?

taxi not included in retreat package

Do you have dietary requirements, allergies, medical conditions or injuries?

How did you hear about this retreat? (IG, YouTube, email) *

Is there anything else we should know?

Thank you!

Talk soon.

xx

Due to the limited capacity on this retreat, we are unable to offer a scholarship spot.

a five class series from my heart to yours. we’re all going through the ups and down of life. the mat is there for you to breathe, feel, release and move. let’s ride the waves together. 🌀

available to app members for free with membershi

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