Sign up Yoga, Food & Nature retreat

Please use the form below to signup for one of our Yoga Food Nature retreats. If you have any questions, please contact us.
Please note: all fields are required.

Which retreat are you applying for?

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 price do you want?

Will you be renting a car?
 Yes No

Will you be willing to share the rental car (and its costs) with others?
 Yes No

If you are driving to the retreat, would you be willing to take other participants with you?
 Yes No

If you are not driving to the retreat, would you like us to try and pair you with a driving participant?
 Yes No

How did you hear about our retreat?

 Google search LiveYoga website Friend recommendation Facebook Returning client Newsletter Flyer


How will you pay the required 150,- deposit?

 By bank transfer to LiveYoga IBAN: NL29INGB0005000624. I will pay by PIN or Cash in the LiveYoga studio

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).