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Cosmis Yoga Retreat

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Student Registration Form

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Name

First

Last

What are your dietary restrictions?

Age + Date of Birth

What is your preferred gender pronoun?

Contact Number with Country Code (Prefer Whatsapp)

Emergency contact: Name and phone number

be dietary (Prefer

Course

Choose Course Month

Are you comfortable being in pictures for the Cosmic Instagram?

Consent for Photography and Videography During Training. There will be a professional Photographer + Videographer helping to create content. You Will get access to this after the training is over. If you don't agree, please email directly or reconsider this training.

I agree to being photographed.
I don't agree to being photographed.

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Student Registration Form