Good Karma Pilates Retreat Booking Form

Please take a moment to fill out this information for me to know a little bit more about you and to dive into this adventure together! I will contact you within 24 hours to discuss your room choice and payment. Let's do this!

Tell me a bit about you...

Name

First Name

Last Name

Email Address

Phone

(###)

###

####

How did you hear about this retreat?

What got you excited for this adventure?

Tell me anything you'd like me to know about you.

Room Choice: Jungle View (4 person share) or Ocean View (2 person/private)

Do you have any dietary restrictions?

Anything medical I should know?

Emergency Contact Name and Information (Emal & Phone Number)