Wine, Adventure, and Yoga Retreat to France Form

Registration Form

Please complete the below registration form for the Wine, Adventure, and Yoga Retreat to France 2025.

Every participant must complete this form and submit their $1,000 deposit to register. If you are registering as a double with another person, please indicate their name in the appropriate field below. Once you have completed this form, you will be directed to the payment page for the deposit. You may add two deposits to your cart at check out if you only wish to pay once for two people on one reservation (make sure to indicate who you are paying a deposit for in the notes).

A second payment of $1,200 will be due on June 1, 2025 and final installment will be due August 1, 2025. Save $100 off the single or $200 ($100/pp) off the double rate if you pay in full at registration!

If you are paying in full, please pay the $1,000 deposit and indicate either in this form or in the notes of your deposit that you are planning to pay in full. We will send you an invoice for the remaining amount owed reflecting the discount.

If you are travelling by yourself and would like to sign up for a double with a roommate, you may sign up to be on the waitlist to see if another person to share a room with registers. You do not need to pay the deposit to be put on the waitlist, please indicate on the form that this is the option you are looking for. You will know no later than June 1, 2025 if a roommate has been able to be located or not. At the time a roommate has been found, both people sharing the room must pay their $1,000 deposit and the remaining payments installments. There is no guarantee we will be able to find a roommate, and bookings as singles and doubles/pairs will have priority.

We are looking for a female roommate to pair up with someone interested in sharing a room. If you are interested in pairing up, please complete the form below and indicate you want to be assigned a roommate. 

Please complete this form for the Yoga and Adventure Retreat to France October 5-11, 2025. All attendees must complete this form individually, even if they are sharing a room with someone.

Name *

First

Last

Email *

Cell Phone Number *

Address *

someone, in plan

City/Sate/Zip *

Emergency Contact Name *

First

Last

Please list someone who isn't traveling with you.

Emergency Contact Relationship *Spouse/PartnerParentDaughter/SonSiblingFriendOther

Emergency Contact Phone Number *

If you are sharing a room with someone, please add their name here.

If you are registering to be on the waitlist as an individual looking for a roommate, please indicate you want to be on the waitlist here.

Do you have any diet restrictions? *

Unfortunately, we are not able to accommodate vegetarian, vegan, or gluten-free diet restrictions. We will be dining at local restaurants for dinner, hiring a private chef, and have a breakfast buffet. Your diet choices will be limited by the menu where we eat or by the meal prepared by the chef. Most meals will include typical French foods including some meat and fish.

Do you have any food allergies? *

We will be dining at local restaurants for dinner, hiring a private chef, and have a breakfast buffet. Your diet choices will be limited by the menu where we eat, and not all restrictions may be able to be accommodated, though we will do our best to work with allergies.

Are you interested in scheduling a massage? *YesNoMaybe

Do you plan to rent a car on your own? *YesNo

Transportation to the retreat from Bordeaux, as well as to all planned activities, is provided with your registration fee.

Is there anything else you'd like us to know?

Submit

By completing this form and making your deposit, you agree to the terms.