Retreat Registration Brazil Retreat Registration Your Name*Email* TelephoneAgeCityHow is your overall health? Under doctors supervision With some health issues Average Above average HEALTH ISSUES - Please list any illnesses or health issues. Make sure to list all present medications and or treatments. YOGA - What level is your yoga practice? Complete beginner Occasional yoga class As often as possible Dedicated practice I am a yoga teacher GOALS - What would you like to accomplish by attending this retreat?KICHIC NOVEMBER ROOM RESERVATION* SUITE- SINGLE OCCUPANCY US $2300.00 SUITE -DOUBLE OCCUPANCY (PER PERSON) US $1800.00 SUITE DELUXE-SINGLE OCCUPANCY US $2600.00 SUITE DELUXE- DOUBLE OCCUPANCY (PER PERSON) US $2100.00 PLEASE ONLY CHOOSE DOUBLE OCCUPANCY IF YOU AFRE BOOKING WITH SOMEONE ELSE.How did you hear about the Amaveda retreat?