Vul het formulier hieronder in om je aan te melden voor onze Yoga retraite. Neem contact op mocht je vragen hebben.

Let op: alle velden zijn verplicht.

Which week would you like to join?

 1st week only: June 2-9 2nd week only: June 9-16 both weeks: June 2-16

Personal information

Full name

 Male Female

Date of birth

Contact information

Full address




Telephone number

Email address

Experience and needs

Your Yoga Experience

Styles of Yoga practiced

Physical or Health problems

Food Allergies

Travelling preferences

Are you coming alone?
 Yes No

If you are sharing a room, please name your room partner:

Do you want us to find you a room partner?
 Yes No

Based on the accommodations available, which package do you want?

 Dormitory (3-4 sharing) A person in a double room with shared bathroom (2 sharing) A person in a double room with private bathroom (2 sharing) A person in a single room

How did you hear about our retreat?

 Google search LiveYoga website Friend recommendation Facebook Returning client Newsletter Flyer


How will you pay the required Non-refundable deposit? (€350,- for one week, €700,- for two weeks)

 By bank transfer to LiveYoga IBAN: NL29INGB0005000624. I will pay by PIN or Cash in the LiveYoga studio By Credit Card
* Remaining amount should be paid in full no later than 30 days prior to the retreat. In case the form is being filled in this time frame the full amount should be paid to complete the booking and not only the deposit.

* Early bird prices are valid when deposit arrives with us before Jan 1, and the remaining sum arrives no later than 30 days prior to the retreat.

* It is also possible to pay with a Credit Card, a fee of 3% will be charged. If you choose this option we will contact you with further instructions on how to complete the payment.

Other comments

Please tick the box below to signify you understand and agree with our terms and conditions. By clicking the signup button you also declare that all the information you have provided above is correct and complete and would like to express your interest to participate in the workshop.

I agree with the terms and conditions. (required).