Live Life on Purpose: Law of Attraction Tulum Yoga Retreat

April 18, 2024

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Guest 1		First Name* Last Name* Email* Gender
Guest 1		First Name* Last Name* Email* Gender

First Name *
Last Name *
Email *
Phone
Address
Address 2
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Comments or Special Needs
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Birth Date
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Arrival Date
Flight Arrival Date/Time
Flight Departure Date/Time
Requested Roommate	Are you traveling with someone else?
Menu options: *	If you require raw vegan meals or juice cleanse, please add that to your retreat registration above.
Do you eat seafood? *
Diet Notes	Is there anything you want us to know about your diet? Please also list any allergies.
Emergency Contact Info *
Medical Issues *	Enter "none" if you have no issues
Ride Sharing
How did you hear about us?
Life Source Retreats Affilate # or Ambassador Name:	Leave blank if you were not referred to us by an affiliate or ambassador (previous student)
Terms and Conditions *	I accept the terms and conditionsView our Terms and Conditions
Discount code
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Is this your first retreat?
If not, what other retreats have you attended?
What did you like most about any retreats you've done in the past?
Was there anything you would have liked to be different about any past retreats?
Why did you pick this retreat?	Was it the topic, dates, teacher, location, hotel, or some other reason?
What is your astrological sign?
Are you taking any medications?

If you could change 2 things about yourself, what would they be?
What is your current spiritual path, belief or practices?
Which teachers or leaders have had the greatest influence on your life and belief system?
Were you raised in a specific religion?
What is your preferred favorite yoga style?
Do you currently practice yoga? If so, which type, and how often?
Do you exercise? If so, how often, and what do you do?
What do you do for a living?
Would you still do this work if money were not a factor?
Do you currently have a spouse, significant other, or are you dating someone?
If so, how long have you been together?
How would you describe your current relationship with this person?
What would you change?
Do you have children? If so, how many? How old are they? Boys or girls?

Please describe your morning routine the first hour after you wake:
Please describe your evening routine the last hour before you go to sleep:	For example, are you on the phone and computer? Do you get the kids ready for school the next day? Do you meditate? Do you write in a journal? Do you drink water, tea, coffee, or alcohol? Do you read the newspaper or watch the news? Do you go to the gym or walk, swim, or run?
How many hours a night do you sleep? Do you require a sleep aide?
Approximately how much "screen time" do you spend in a day? And why?	i.e. Looking at a computer screen, iPad, phone, kindle etc.
Approximately how much time do you spend on "social media" specifically each day?
Would you still join this retreat if no phones or computers were "allowed"?
Are you practicing any healing modality? If so, please elaborate:
Do you (or did you) meditate? If so, please describe your practice (past or present):
Do you (or have you) suffer from any major health problems?
What would you attempt to do if you could not fail?
What do you MOST hope to take home from this retreat (besides a tan)?
What is your favorite thing to do in any free time you have?
What made you choose THIS retreat?
SPECIAL DISCOUNT	To receive free one-way transportation from airport to hotel, please input code, and you will receive a confirmation email within 48 hours of registration
State and city of bith
Exact time of birth