Retreat Registration

Mimi Kuo-Deemer – Retreat Registration

Yoga Retreat in Umbria, Italy with Mimi Kuo-Deemer and Margi Young

Embodied Awareness: Thursday, May 25 - Friday, May 31, 2012.

Please use this form to reserve a space on the retreat. Please note that your room can only be confirmed once payment has been received in full.

Sign up for the retreat! (Please use this form to reserve a space on the retreat. Pleaes note that your room can only be confirmed once payment has been received in full.)
Name:
Email:
Home Phone:
Mobile:
Mailing Address:
Emergency Contact:
Please indicate: • your room preference (our retreat is fully booked; there is a waitlist though! Let us know if you'd like to join.) • any injuries, medical conditions, allergies or dietary restrictions; and • other needs, comments or questions: