Page 1 of 4
https://storage.tally.so/b43e1bc3-9f29-453a-80e1-d1e948b608b2/demotions-15-.jpg

Okinawa Meditation & Yoga Retreat RSVP!

Please take a few moments to fill out this form to complete your RSVP for our retreat May 22nd-26th. Also here is the retreat info for you:
Retreat Center Address: Le Lotus Bleu, Shiraho Beach 148 Shiraho, Ishigaki, Okinawa 907-0242
Emergency Numbers: Misha: (+81) 090 8013 7249. Retreat number: (+81) 0980-87-5576 (please share this with your emergency contact, in case anyone needs to contact you while you are offline)

First Name

Email address

What is your intention for this retreat?

Untitled checkboxes field

What is your meditation experience?

Untitled multiple choice field
A
B
C
D

Do you have any dietary restrictions?

Untitled checkboxes field