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.Format: (000) 000-0000.
Home Address

Street Address

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

Overarching Goal
Your main goal for this retreat: (select all that apply)

Other
Please specify techniques or asana you are looking to improve or learn: (this is indicative only . I base the yoga curriculum on retreat theme and participant abilities)

Health & Yoga Practice

Please share your practice level and any health considerations so I can tailor sessions to support your well-being.
Current yoga experience level and how long they've been practicing *
Do you have any injuries or physical limitations? *

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 typing my name below, I acknowledge that I have retreat terms and conditions, which includes our cancellation policy, for the yoga retreat.

Yoga Retreat Deposit

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

$518.01

Enter coupon

Total

Choose Your Accomodation