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First Name *

Last Name *

Birthday

Age

Male/Female

Male

Female

Email Address *

Enter Email

Confirm Email Address *

Confirm Email

Instagram

Facebook

Primary Phone Number *

Cell Number *

Address

City

State/Province

Country

Zip/Postal Code

Passport Number

Passport Country

Expiration Date

Emergency Contact Name and # *

Emergency Contact State/Province

Retreat: *
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If you select a sold out retreat you will be added to a cancellation list.

Start Date

End Date

Room Rates * Beachfront single occupancy room $1800 Beachfront double occupancy room $1500 Courtyard single $1600 Cortyard double $1400

Room Rates * Courtyard Double $1600 Beachfront Double $1800 Beachfront Single $2500

Room Rates * Beachfront single $1500 Beachfront double $1300 Courtyard single $1400 Courtyard double $1200

If you are traveling with someone else please list their name(s)

TRAVEL INFORMATION

Please provide this information if you would like assistance with arranging your airport transfers, if you do not have this information at this time, you can email it to us later.

Arrival date and time

Airline and Flight #

Departure date and time

Airline and Flight #

Health Information

Do you have any health conditions (asthma, heart conditions, etc)? *

Yes

No

Please provide details on your health conditions

Are you taking medication that we should know about? *

Yes

No

Please list the medications being taken

Do you have any Physical limitations or injuries that we should be aware of i.e. back conditions, knee/shoulder problems, recent surgery, etc.? *

Yes

No

Please provide details on your limitations

Do you have any dietary restrictions (vegetarian food allergies, etc.)? *

Yes

No

Please provide details on your dietary restrictions

Yoga Experience

How long have you practiced yoga?

How often do you currently practice? (i.e. times per week)

What type of Yoga do you practice?

(Lyengar, Ashtanga, Vinyasa Flow, Power, Hatha, Biknam, non specific. etc)

What are you looking forward to from the yoga sessions and the retreat experience in general?

How did you find out about Copal retreats?

(internet search, specific website, friend, referral, Instagram etc.)

What are the most important factors that made you decide to choose Copal Retreats for your retreat?

Additional Comments

Are you a returning customer?

Yes

No

Do you have a promo code? If yes, please enter the promo code below.

Privacy, Terms and Conditions Retreat Cancellation PolicyWe understand that sometimes it may be necessary for various reasons to cancel a reservation. Copal Retreats policy in such circumstances is as follows. Should you need to cancel your reservation for Copal retreat 60 days or more prior to the first date of the retreat you will receive a refund for payment made less the $200 deposit. Should you need to cancel less than 60 days prior to the first date of the retreat for whatever reason we will not be able to provide a refund for any payment made. No refund will be made for arriving late or departing a retreat early. In the unlikely event Copal Retreat needs to cancel a retreat, a full refund of payment made for the retreat will be given. Copal Retreats will not be held liable for any expenses incurred by the participant for a retreat cancelled either by the participant or by Copal Retreats. A cancellation must be received in writing sent via email.During your retreat there is a possibility that an activity may be cancelled or part of the itinerary changed due to causes beyond the control of Copal Retreats such as the weather. In such circumstances we will not be able to provide refunds for those changes, however, we will do our best to manage those circumstances so that you may continue to enjoy and be safe while on your vacation.Liability Waiver and Assumption of RiskWhile Copal Retreats SA de CV places safety for the well-being of the client above all there are inherent risks involved in traveling, participating in the yoga sessions, surfing, stand up paddling and the adventure activities. These risks include but are not limited to damage or loss of personal belongings and personal injury. By signing the below the participant makes the statement that he/she is in satisfactory health and suffers from no physical impairment to voluntarily participate in the yoga sessions and adventure activities per the retreat description and accepts and assumes all of the risks existing in those activities and those involved while traveling in Mexico. The participant agrees to research the risks of those activities and of travel for which she/he is not aware.The participant voluntarily waives any claim to maintain a lawsuit or demands of any kind against Copal Retreats SA de CV ., and its staff and of the partner companies with which Copal Retreats works for injury, illness, death, accident, loss or damage of personal property which may occur during her/his participation on a Copal Retreats retreat.We highly recommend that all participants purchase travel insurance that covers emergency medical care, cancellation of flights or trip due to illness or other reasons and for loss or theft of personal items.Our Policies Please review our policies prior to booking.Reservations:FOR ALL BOOKINGS All reservations will be held through a $200 deposit made through PayPal, eTransfer (for Canadians), and Credit Card (over the phone). This deposit is non-refundable. Payment for all nights booked will be charged if you do

Have you paid your deposit ($200.00) already?

Yes

No

Temazcal?

Yes

No

Consent *

I have read and agree to the above mentioned Privacy, Terms and Conditions

Our Policy *

I have read the policy included on this page

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After submitting your form a deposit of $200.00 will be charged to reserve your room.

Full payments due 90 days prior to the start day of the Yoga retreat.