Retreat Registration - Melisande Yoga Mont-Tremblant

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Name *

First

Last

Email *

Phone *

Date of Birth//

Select room *

Ocean View with A/C
Mountain View with A/C
Nature Sweet with A/C
Hermitage King with A/C
Hermitage Room with A/C
Eco-Cottage

If this room is sold out, please specify your second choice:

Select occupancy *

Single Occupancy
Double Occupancy

If you are traveling with someone else, please include their contact info:

Which additional activities are you interested in? *

Spa services
Surfing
River kayak
Stand up paddle
Waterfall hike

Dietary Restrictions *

Vegetarian
Vegan
Gluten Free
Dairy Free
None
Other:

Do you have any allergies? *

Do you have any injuries? *

Emergency contact: *

How would you like to pay for the 50% deposit? *

E-Transfer to melisandeyoga@gmail.com
PayPal (5% fee)
Credit Card (5% fee)
Other:

I have read and agree to the cancellation policy: *

Yes

Any other questions?

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