Casas Kismet Booking Form

My Wellness Retreats - Casas Kismet, CR

October 2-9, 2027| Up to 15 CE Credits Available
Contact Information

Let us know how to reach you!
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Attendee Details

Let's get a little more information so we can serve you better during your retreat.
Please provide your License Type/Title if applicable (if you don't have one write N/A)
Please provide your License Number (if you don't have one write N/A)
I am registering as a...
Do you have any health limitations or physical injuries that may require accommodations Please indicate if you have any major health issues ex highlow blood pressure arthritis asthma diabetes seizures osteoporosis etc
Do you have any special dietary requirements
Please verify that you are human

Nonrefundable Downpayment

Save your spot!

$500.00

Enter coupon

Total

Payment Methods

Debit or Credit Card

ACH Bank Transfer

Klarna

Room Selection & Payment

Please select your preferred lodging and pay the deposit below according to the terms.
Please select your preferred lodging
Shared Roommate Name

First NameLast Name
Payment Terms

A $500 USD non-refundable deposit is required to secure your spot. After the deposit is paid, a monthly payment plan will begin the following month. Monthly payments will be calculated based on the remaining balance and the number of months remaining until final payment is due.
Customer
Date

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2 digit month, 2 digit day, 4 digit yearDate

THERAPIST RETREAT PARTICIPATION AGREEMENT

This is a legally binding contract. Please read it carefully.
Signature
Today's Date

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My Wellness Retreats - Casas Kismet, CR