REGISTRATION FORM REGISTRATION FORM **Please do not complete this registration form if you are not prepared to submit your $500 retreat deposit.** Thank You For Signing Up!First Name *Last Name *Address *Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongo (Brazzaville)CongoCosta RicaCote d\'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalestinian TerritoryPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWestern SaharaWestern SamoaYemenZambiaZimbabweCountryPhone *Birthday *Email *Facebook URL Instagram Skype If you do not have a Skype name , you can leave this blank. Emergency ContactFirst Name *Last Name *Phone *Email Getting to Know More About YouDo you have any food allergies? *Do you have any dietary restrictions? *Do you have any medical or mobility condition we should be aware of? *Medications *What is your occupation *Are you able to swim? How well? *Tell us about yourself, and what you hope to gain from your Thanda Tribe Retreat? *Do you practice yoga? We would love to hear about your yoga journey. Please note: Participants do not need any experience whatsoever to attend our retreats, we encourage people that have never practiced yoga to experience it with us. *We encourage women to travel both alone and with friends, as they are distinctly beautiful experiences. Please let us know if you will be traveling solo or with a friend. Though we can't guarantee that you will stay in the same room, we will try our best. *We’d love to know how you found us! Disclaimers & ConditionsDue to the healing and self reflective nature of the retreat the gates close and quiet time starts at 9pm each evening. Guests must be in the lodge by 9pm every night. This policy is enforced to discourage and limit partying while you are at the retreat. *Are you comfortable being in this particular environment?YesNoTerms • I understand that my Thanda Tribe experience does not include airfare or travel arrangements. • I understand that I will be unplugged from technology during many parts of my experience. I understand that Thanda Tribe encourages participants to disconnect from social media and anything not serving me during my Thanda Tribe experience. • I understand that all Thanda Tribe programs are mostly plant-based. I understand that I do not need to be vegan/ plant-based to attend a retreat. I understand that I will be filled with delicious mostly plant-based meals during my stay. And that animal by products may be served at a minimum during my time with Thanda Tribe. • I understand to enhance my experience with Thanda Tribe that I should tell relatives and friends that I do not want to receive any correspondence during the retreat unless it is an urgency. I understand that my experience with Thanda Tribe is to focus on my personal growth, wellness and self-care. • I understand that I will be abstaining from alcohol during my time with Thanda Tribe. • I understand that that there are no refunds for my purchase of a Thanda Tribe Retreat. I understand that it is recommended that I get travel insurance in case of any cancellation. • As a guarantee for my participation in the Thanda Tribe Programs, I send you the non-refundable deposit to reserve my space. I understand that my retreat ticket is non-refundable.Acknowledgement I agree to the above disclaimers & conditions VerificationPlease enter any two digits *Example: 12This box is for spam protection - please leave it blank: Thanda Tribe DepositDeposit - $500infothandatribe@gmail.com: Thank You for Signing Up!
