Moving Into Stillness 2026 Yoga Retreat Registration Form

Moving Into Stillness 2026 Yoga Retreat Registration Form

Welcome! You're one step closer to four days of yoga, rest, and renewal in the Catskill Mountains. Fill out the form below to reserve your spot — I can't wait to practice with you.
Participant Full Name*

First NameLast Name
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.
Home Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Name, email and phone number of emergency contact*

Choose Your Accomodation
Triple room with ensuite bathroom (3 twins / 3 to share)Double room with shared bathroom (2 twins or 1 king / 2 to share)Double room with ensuite bathroom (2 twins or 1 king / 2 to share)Double room, couples only, with shared bathroom (1 queen / 2 to share)Single room with shared bathroom (1 queen / 1 person)
I'm signing up with friends (please add their names below)I'm signing up on my own and is willing to be paired in a double or triple room with other retreaters or be offered an alternative sharing arrangement
If you are sharing wiith one or two friends, please add their names here:

Overarching Goal
Deepen yoga practiceRest and relaxationHealing/recoveryMeet like-minded peopleLearn new techniquesOther

Health & Yoga Practice

Please share your practice level and any health considerations so I can tailor sessions to support your well-being.
Beginner (less than 1 year)Intermediate (1-3 years)Advanced (3-5 years)Experienced (5+ years)
No limitationsRecent injury (please specify below)Chronic condition (please specify below)Mobility concerns (please specify below)Other
Please explain any injuries or physical limitations that may affect your practice:

Retreat Terms and Conditions
Retreat Terms and Conditions:
https://www.heleneroyyoga.com/pages/yoga-retreats/retreat-terms-and-conditions
- No one books a retreat with the intention of cancelling it, but unexpected events do happen, so please consider purchasing travel insurance.
- It is your responsibility to read and understand the entirety of our retreat terms and conditions, which includes our cancellation policy, before booking.
- No exceptions can be made for any reason.
- These terms and services ensure the sustainability and quality of the services offered and ensure the sustainability of this small business. I appreciate your understanding.
By signing below, I acknowledge that I have retreat terms and conditions, which includes our cancellation policy, for the yoga retreat.*

My Products

Yoga Retreat Deposit

Non-refundable deposit to reserve your spot at the yoga retreat.

$518.01

Enter coupon

Total

$0.00

Choose Your Accomodation