Retreat Application Form

Name *
Name
Phone *
Phone
Address
Address
Birthday
Birthday
Select Accomodation *
PRICE INCLUDES: 6 nights accommodation at Selva Armonia, double or triple occupancy only (Private rooms are available at an additional cost.) 3 homemade gourmet, vegetarian or vegan meals per day 2 Yoga + Meditation Classes per day, morning + evening Ayurveda Self-Care Workshop Partner Yoga on the Beach Workshop Guided Hidden Waterfall Hike Medicinal Plants + Garden Tour Beach Excursion to Playa Ventanas Beach Excursion to Marino Ballena Round-trip, ground transportation to + from San Juan International Airport (SJO) to Selva Armonia Gratuity for staff
Do you have a friend or preferred roommate applying for this retreat whom you wish to share a room with? If so, please list his or her first and last name.
Do you have a friend or preferred roommate applying for this retreat whom you wish to share a room with? If so, please list his or her first and last name.