New Moon Nature Retreat Sign-up First Name *Last Name *Birthday *Email Address *Phone *WhatsApp NumberWe use WhatsApp (a free international messaging platform) for communications as we get close to the retreat and at the retreat. You can download it for free from IOS or Google/Android. Or visit: https://www.whatsapp.com/Street Address *Apartment, suite, etcCityState/ProvinceZIP / Postal CodeCountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua & BarbudaArgentinaArmeniaArubaAscension IslandAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCaribbean NetherlandsCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d’IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong Kong SAR ChinaHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLao People’s Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao SAR ChinaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinian TerritoriesPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint HelenaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSouth KoreaSouth SudanSpainSri LankaSt. BarthélemySt. MartinSt. Pierre & MiquelonSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyriaSão Tomé & PríncipeTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad & TobagoTunisiaTurkeyTurkmenistanTurks & Caicos IslandsTuvaluU.S. Virgin IslandsUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWallis And Futuna IslandsWestern SaharaYemenZambiaZimbabweDietary Preferences/AllergiesHow did you find out about this retreat?What do you hope to gain from this retreat?Is there anything else you want to share with me?Participant Deposits, Cancellations Info, Waivers and Agreements *IMPORTANT: I agree to the terms, conditions and waivers in the link below including that DEPOSITS ARE NON-REFUNDABLE (FOR ANY AND ALL REASONS), and the COVID-19 notice and assumption of riskClick here for the Yoga Retreat WaiverRetreat Guidelines *I understand this retreat is for people 16 years of age and older (unless otherwise permission given) and that no animals are permitted on sites (including service or emotional support animals)Emergency ContactNameEmail AddressPhoneAccommodationsChoose your preferred accommodations. Checking this box does not guarantee your reservation. Accommodations are first come, first serve, and your spot is reserved upon payment of deposit.Rooms *Bunk House: Top $1,199Bunk House: Bottom $1,299Moon Dancer Vintage Trailer: $1,699King Yurt: $1,799Container Villa Suite 2: $1,899Serenity Cabin: $1,999Day Rate: $500 – $700Additional Guests *YesNoHow many additional guests?Additional ActivitiesThese are optional additions to enhance your experience.Choose any activities that interest you!Intentional Candle Making: $45/personHorseback Riding: $55/personApiary Tours: $6 DonationMassage: $125/personSonic Shower: $25/personSound Therapy Session (30 minutes): $40Sound Therapy Session (60 minutes): $80 Sign up!Please do not fill in this field.
