{"id":2652,"date":"2026-06-12T09:58:47","date_gmt":"2026-06-12T09:58:47","guid":{"rendered":"https:\/\/cortijo-rosario.com\/yoga-retreat-registration-form\/"},"modified":"2026-06-16T08:26:46","modified_gmt":"2026-06-16T08:26:46","slug":"yoga-retreat-registration-form","status":"publish","type":"page","link":"https:\/\/cortijo-rosario.com\/en\/yoga-retreat-registration-form\/","title":{"rendered":"Yoga Retreat Registration Form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"2652\" class=\"elementor elementor-2652 elementor-2633\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-52bbd78 e-flex e-con-boxed e-con e-parent\" data-id=\"52bbd78\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d16919e elementor-widget elementor-widget-text-editor\" data-id=\"d16919e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h2>Yoga Retreat Registration Form<\/h2>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a8ff9b6 elementor-button-align-stretch elementor-widget elementor-widget-form\" data-id=\"a8ff9b6\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;button_width&quot;:&quot;33&quot;,&quot;step_next_label&quot;:&quot;Next&quot;,&quot;step_previous_label&quot;:&quot;Previous&quot;,&quot;step_type&quot;:&quot;number_text&quot;,&quot;step_icon_shape&quot;:&quot;circle&quot;}\" data-widget_type=\"form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<form class=\"elementor-form\" method=\"post\" name=\"New form\" aria-label=\"New form\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"2652\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"a8ff9b6\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"Yoga Retreat Registration Form - Cortijo Rosario\" \/>\n\n\t\t\t\t\t\t\t<input type=\"hidden\" name=\"queried_id\" value=\"2652\"\/>\n\t\t\t\n\t\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_f891391 elementor-col-100\">\n\t\t\t\t\tPlease fill out a registration form for each participant.\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_38231b3 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_38231b3\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tI'm signing up for next week:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Saturday, September 26, 2026*\" id=\"form-field-field_38231b3-0\" name=\"form_fields[field_38231b3][]\"> <label for=\"form-field-field_38231b3-0\">Saturday, September 26, 2026*<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Saturday, March 13, 2027\" id=\"form-field-field_38231b3-1\" name=\"form_fields[field_38231b3][]\"> <label for=\"form-field-field_38231b3-1\">Saturday, March 13, 2027<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_b841ffd elementor-col-100\">\n\t\t\t\t\t<small>* This group is a trial session for the yoga retreat. If you book by this date, you\u2019ll receive a 10% discount on the listed price. By participating in this group, you also consent to the taking of photos and videos and their use on our website and social media.  <\/small>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_be7f1fb elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_be7f1fb\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t  Personal Data\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Male\" id=\"form-field-field_be7f1fb-0\" name=\"form_fields[field_be7f1fb]\"> <label for=\"form-field-field_be7f1fb-0\">Male<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Female\" id=\"form-field-field_be7f1fb-1\" name=\"form_fields[field_be7f1fb]\"> <label for=\"form-field-field_be7f1fb-1\">Female<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Other\" id=\"form-field-field_be7f1fb-2\" name=\"form_fields[field_be7f1fb]\"> <label for=\"form-field-field_be7f1fb-2\">Other<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-name elementor-col-50 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-name\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tFirst name\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[name]\" id=\"form-field-name\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"First name\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_78fac86 elementor-col-50 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_78fac86\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tLast name\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_78fac86]\" id=\"form-field-field_78fac86\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Last name\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_d614b94 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_d614b94\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDate of birth\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_d614b94]\" id=\"form-field-field_d614b94\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Date of birth\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_786b36e elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_786b36e\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAddress\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_786b36e]\" id=\"form-field-field_786b36e\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Address\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_d094ec0 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_d094ec0\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPostal code\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_d094ec0]\" id=\"form-field-field_d094ec0\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Postal code\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_a9c657c elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_a9c657c\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tResidence\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_a9c657c]\" id=\"form-field-field_a9c657c\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Residence\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_3979ecb elementor-col-50 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_3979ecb\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPhone number\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_3979ecb]\" id=\"form-field-field_3979ecb\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Phone number\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-email elementor-field-group elementor-column elementor-field-group-email elementor-col-50 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-email\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tEmail\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"email\" name=\"form_fields[email]\" id=\"form-field-email\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Email\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_1901b67 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_1901b67\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPassport number\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_1901b67]\" id=\"form-field-field_1901b67\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Passport number\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_99be591 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_99be591\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tStay\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Shared room: \u20ac995.00 per person. I would like to share the room with (if applicable)\" id=\"form-field-field_99be591-0\" name=\"form_fields[field_99be591][]\"> <label for=\"form-field-field_99be591-0\">Shared room: \u20ac995.00 per person. I would like to share the room with (if applicable)<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Single room: \u20ac895.00; assigned on a first-come, first-served basis\" id=\"form-field-field_99be591-1\" name=\"form_fields[field_99be591][]\"> <label for=\"form-field-field_99be591-1\">Single room: \u20ac895.00; assigned on a first-come, first-served basis<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Double room for single occupancy: \u20ac1,345.00 \" id=\"form-field-field_99be591-2\" name=\"form_fields[field_99be591][]\"> <label for=\"form-field-field_99be591-2\">Double room for single occupancy: \u20ac1,345.00 <\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_f76df2a elementor-col-100\">\n\t\t\t\t\t<p><strong>Cancellation Policy<\/strong><\/p>\n<p>We recommend that you purchase travel and cancellation insurance.<\/p>\n\n<p>You can cancel free of charge up to 56 days before arrival.<\/p>\n\n<p>For cancellations made between 55 and 42 days prior to arrival: a 20% cancellation fee applies.<\/p>\n\nIf canceled 41 days or fewer before arrival: 100% cancellation fee.\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-acceptance elementor-field-group elementor-column elementor-field-group-field_9d2c1fe elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_9d2c1fe\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDeposit<p><i>After registering, you will receive an invoice for a 20% deposit<\/i><\/p>\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-subgroup\">\n\t\t\t<span class=\"elementor-field-option\">\n\t\t\t\t<input type=\"checkbox\" name=\"form_fields[field_9d2c1fe]\" id=\"form-field-field_9d2c1fe\" class=\"elementor-field elementor-size-sm  elementor-acceptance-field\">\n\t\t\t\t<label for=\"form-field-field_9d2c1fe\">I agree to the 20% down payment<\/label>\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_cfea368 elementor-col-100\">\n\t\t\t\t\t<p><strong>Health & Wellness Questions<\/strong><\/p>\n\n<p>To make your vacation as safe and enjoyable as possible, we ask that you answer the following questions honestly. All information will be treated confidentially. <\/p>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_7b4c388 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_7b4c388\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAre you currently experiencing any physical symptoms, injuries, or health issues?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"No\" id=\"form-field-field_7b4c388-0\" name=\"form_fields[field_7b4c388][]\"> <label for=\"form-field-field_7b4c388-0\">No<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Yes, namely\" id=\"form-field-field_7b4c388-1\" name=\"form_fields[field_7b4c388][]\"> <label for=\"form-field-field_7b4c388-1\">Yes, namely<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_d473059 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_d473059]\" id=\"form-field-field_d473059\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Please list any physical symptoms, injuries, or health issues here\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_c39b5b6 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_c39b5b6\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tHave you had any serious injuries, surgeries, or chronic conditions in the past?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"No\" id=\"form-field-field_c39b5b6-0\" name=\"form_fields[field_c39b5b6][]\"> <label for=\"form-field-field_c39b5b6-0\">No<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Yes, namely:\" id=\"form-field-field_c39b5b6-1\" name=\"form_fields[field_c39b5b6][]\"> <label for=\"form-field-field_c39b5b6-1\">Yes, namely:<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"\" id=\"form-field-field_c39b5b6-2\" name=\"form_fields[field_c39b5b6][]\"> <label for=\"form-field-field_c39b5b6-2\"><\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_ea3931d elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_ea3931d]\" id=\"form-field-field_ea3931d\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Please list any serious injuries, surgeries, or chronic conditions here...\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_2d6d7f7 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_2d6d7f7\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDo you suffer from:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Back pain\" id=\"form-field-field_2d6d7f7-0\" name=\"form_fields[field_2d6d7f7][]\"> <label for=\"form-field-field_2d6d7f7-0\">Back pain<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Neck\/shoulder pain\" id=\"form-field-field_2d6d7f7-1\" name=\"form_fields[field_2d6d7f7][]\"> <label for=\"form-field-field_2d6d7f7-1\">Neck\/shoulder pain<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Knee pain\" id=\"form-field-field_2d6d7f7-2\" name=\"form_fields[field_2d6d7f7][]\"> <label for=\"form-field-field_2d6d7f7-2\">Knee pain<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Joint problems\" id=\"form-field-field_2d6d7f7-3\" name=\"form_fields[field_2d6d7f7][]\"> <label for=\"form-field-field_2d6d7f7-3\">Joint problems<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"High\/low blood pressure\" id=\"form-field-field_2d6d7f7-4\" name=\"form_fields[field_2d6d7f7][]\"> <label for=\"form-field-field_2d6d7f7-4\">High\/low blood pressure<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Heart problems\" id=\"form-field-field_2d6d7f7-5\" name=\"form_fields[field_2d6d7f7][]\"> <label for=\"form-field-field_2d6d7f7-5\">Heart problems<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Asthma or breathing problems\" id=\"form-field-field_2d6d7f7-6\" name=\"form_fields[field_2d6d7f7][]\"> <label for=\"form-field-field_2d6d7f7-6\">Asthma or breathing problems<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Burnout \/ stress-related symptoms\" id=\"form-field-field_2d6d7f7-7\" name=\"form_fields[field_2d6d7f7][]\"> <label for=\"form-field-field_2d6d7f7-7\">Burnout \/ stress-related symptoms<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Pregnancy\" id=\"form-field-field_2d6d7f7-8\" name=\"form_fields[field_2d6d7f7][]\"> <label for=\"form-field-field_2d6d7f7-8\">Pregnancy<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Other:\" id=\"form-field-field_2d6d7f7-9\" name=\"form_fields[field_2d6d7f7][]\"> <label for=\"form-field-field_2d6d7f7-9\">Other:<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_5aa1b95 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_5aa1b95]\" id=\"form-field-field_5aa1b95\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Please enter any other symptoms here...\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_29d205e elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_29d205e\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAre you taking any medications we need to be aware of?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"No\" id=\"form-field-field_29d205e-0\" name=\"form_fields[field_29d205e][]\"> <label for=\"form-field-field_29d205e-0\">No<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Yes\" id=\"form-field-field_29d205e-1\" name=\"form_fields[field_29d205e][]\"> <label for=\"form-field-field_29d205e-1\">Yes<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"\" id=\"form-field-field_29d205e-2\" name=\"form_fields[field_29d205e][]\"> <label for=\"form-field-field_29d205e-2\"><\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_db35c54 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_db35c54]\" id=\"form-field-field_db35c54\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Enter any medications here...\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_ea9c8cb elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_ea9c8cb\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAre there any allergies or dietary restrictions?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Vegetarian\" id=\"form-field-field_ea9c8cb-0\" name=\"form_fields[field_ea9c8cb][]\"> <label for=\"form-field-field_ea9c8cb-0\">Vegetarian<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Vegan\" id=\"form-field-field_ea9c8cb-1\" name=\"form_fields[field_ea9c8cb][]\"> <label for=\"form-field-field_ea9c8cb-1\">Vegan<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Gluten intolerance\" id=\"form-field-field_ea9c8cb-2\" name=\"form_fields[field_ea9c8cb][]\"> <label for=\"form-field-field_ea9c8cb-2\">Gluten intolerance<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Lactose intolerance\" id=\"form-field-field_ea9c8cb-3\" name=\"form_fields[field_ea9c8cb][]\"> <label for=\"form-field-field_ea9c8cb-3\">Lactose intolerance<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Nut allergy\" id=\"form-field-field_ea9c8cb-4\" name=\"form_fields[field_ea9c8cb][]\"> <label for=\"form-field-field_ea9c8cb-4\">Nut allergy<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Other:\" id=\"form-field-field_ea9c8cb-5\" name=\"form_fields[field_ea9c8cb][]\"> <label for=\"form-field-field_ea9c8cb-5\">Other:<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_9fae243 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_9fae243]\" id=\"form-field-field_9fae243\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Please list any allergies or dietary restrictions here...\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_a449ec7 elementor-col-100\">\n\t\t\t\t\t<strong>Yoga styles<\/strong>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_a2fb2f3 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_a2fb2f3\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tHow many years have you been practicing yoga?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Less than 1 year\" id=\"form-field-field_a2fb2f3-0\" name=\"form_fields[field_a2fb2f3]\"> <label for=\"form-field-field_a2fb2f3-0\">Less than 1 year<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"1\u20132 years\" id=\"form-field-field_a2fb2f3-1\" name=\"form_fields[field_a2fb2f3]\"> <label for=\"form-field-field_a2fb2f3-1\">1\u20132 years<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"3\u20135 years\" id=\"form-field-field_a2fb2f3-2\" name=\"form_fields[field_a2fb2f3]\"> <label for=\"form-field-field_a2fb2f3-2\">3\u20135 years<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"5+ years\" id=\"form-field-field_a2fb2f3-3\" name=\"form_fields[field_a2fb2f3]\"> <label for=\"form-field-field_a2fb2f3-3\">5+ years<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_0fe6369 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_0fe6369\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tOn average, how often do you practice yoga?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Occasionally\" id=\"form-field-field_0fe6369-0\" name=\"form_fields[field_0fe6369]\"> <label for=\"form-field-field_0fe6369-0\">Occasionally<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Once a week\" id=\"form-field-field_0fe6369-1\" name=\"form_fields[field_0fe6369]\"> <label for=\"form-field-field_0fe6369-1\">Once a week<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"2\u20133 times a week\" id=\"form-field-field_0fe6369-2\" name=\"form_fields[field_0fe6369]\"> <label for=\"form-field-field_0fe6369-2\">2\u20133 times a week<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Daily\" id=\"form-field-field_0fe6369-3\" name=\"form_fields[field_0fe6369]\"> <label for=\"form-field-field_0fe6369-3\">Daily<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_6ef6823 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_6ef6823\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWhat styles of yoga do you have experience with?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Hatha\" id=\"form-field-field_6ef6823-0\" name=\"form_fields[field_6ef6823][]\"> <label for=\"form-field-field_6ef6823-0\">Hatha<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Vinyasa\" id=\"form-field-field_6ef6823-1\" name=\"form_fields[field_6ef6823][]\"> <label for=\"form-field-field_6ef6823-1\">Vinyasa<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Yin\" id=\"form-field-field_6ef6823-2\" name=\"form_fields[field_6ef6823][]\"> <label for=\"form-field-field_6ef6823-2\">Yin<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Restorative\" id=\"form-field-field_6ef6823-3\" name=\"form_fields[field_6ef6823][]\"> <label for=\"form-field-field_6ef6823-3\">Restorative<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Ashtanga\" id=\"form-field-field_6ef6823-4\" name=\"form_fields[field_6ef6823][]\"> <label for=\"form-field-field_6ef6823-4\">Ashtanga<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Kundalini\" id=\"form-field-field_6ef6823-5\" name=\"form_fields[field_6ef6823][]\"> <label for=\"form-field-field_6ef6823-5\">Kundalini<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Pilates\" id=\"form-field-field_6ef6823-6\" name=\"form_fields[field_6ef6823][]\"> <label for=\"form-field-field_6ef6823-6\">Pilates<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Other:\" id=\"form-field-field_6ef6823-7\" name=\"form_fields[field_6ef6823][]\"> <label for=\"form-field-field_6ef6823-7\">Other:<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_39de538 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_39de538]\" id=\"form-field-field_39de538\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"(If applicable, enter another yoga style here...)\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_bb78cf5 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_bb78cf5\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tHow would you describe your skill level?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Beginner\" id=\"form-field-field_bb78cf5-0\" name=\"form_fields[field_bb78cf5]\"> <label for=\"form-field-field_bb78cf5-0\">Beginner<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Intermediate\" id=\"form-field-field_bb78cf5-1\" name=\"form_fields[field_bb78cf5]\"> <label for=\"form-field-field_bb78cf5-1\">Intermediate<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Advanced\" id=\"form-field-field_bb78cf5-2\" name=\"form_fields[field_bb78cf5]\"> <label for=\"form-field-field_bb78cf5-2\">Advanced<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_e235fa5 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_e235fa5\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAre there any poses or exercises you\u2019d rather avoid?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-field_e235fa5-0\" name=\"form_fields[field_e235fa5]\"> <label for=\"form-field-field_e235fa5-0\">No<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Yes\" id=\"form-field-field_e235fa5-1\" name=\"form_fields[field_e235fa5]\"> <label for=\"form-field-field_e235fa5-1\">Yes<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_848b406 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_848b406]\" id=\"form-field-field_848b406\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"If you\u2019d like, list here any poses or exercises you\u2019d prefer to avoid...\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_8db2806 elementor-col-100\">\n\t\t\t\t\t<strong>Resolution for the vacation<\/strong>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_43d0a1c elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_43d0a1c\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWhat is your main reason for joining this yoga retreat?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_43d0a1c]\" id=\"form-field-field_43d0a1c\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_0fce918 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_0fce918\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWhat do you hope to take home with you after this vacation?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_0fce918]\" id=\"form-field-field_0fce918\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_a0cf22e elementor-col-100\">\n\t\t\t\t\t<strong>Additional information<\/strong>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_e7cf47c elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_e7cf47c\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t  Is there anything else we should know?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_e7cf47c]\" id=\"form-field-field_e7cf47c\" rows=\"4\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-acceptance elementor-field-group elementor-column elementor-field-group-field_b040f43 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_b040f43\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t  Terms & Conditions\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-subgroup\">\n\t\t\t<span class=\"elementor-field-option\">\n\t\t\t\t<input type=\"checkbox\" name=\"form_fields[field_b040f43]\" id=\"form-field-field_b040f43\" class=\"elementor-field elementor-size-sm  elementor-acceptance-field\" required=\"required\">\n\t\t\t\t<label for=\"form-field-field_b040f43\">I declare that I have completed this form truthfully.<\/label>\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-acceptance elementor-field-group elementor-column elementor-field-group-field_0ff5e10 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t<div class=\"elementor-field-subgroup\">\n\t\t\t<span class=\"elementor-field-option\">\n\t\t\t\t<input type=\"checkbox\" name=\"form_fields[field_0ff5e10]\" id=\"form-field-field_0ff5e10\" class=\"elementor-field elementor-size-sm  elementor-acceptance-field\" required=\"required\">\n\t\t\t\t<label for=\"form-field-field_0ff5e10\">I understand that participation in yoga* and vacation activities is at my own risk.<\/label>\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-acceptance elementor-field-group elementor-column elementor-field-group-field_107845a elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t<div class=\"elementor-field-subgroup\">\n\t\t\t<span class=\"elementor-field-option\">\n\t\t\t\t<input type=\"checkbox\" name=\"form_fields[field_107845a]\" id=\"form-field-field_107845a\" class=\"elementor-field elementor-size-sm  elementor-acceptance-field\" required=\"required\">\n\t\t\t\t<label for=\"form-field-field_107845a\">I consent to the confidential processing of my personal information for this vacation.<\/label>\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-acceptance elementor-field-group elementor-column elementor-field-group-field_99c7671 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t<div class=\"elementor-field-subgroup\">\n\t\t\t<span class=\"elementor-field-option\">\n\t\t\t\t<input type=\"checkbox\" name=\"form_fields[field_99c7671]\" id=\"form-field-field_99c7671\" class=\"elementor-field elementor-size-sm  elementor-acceptance-field\" required=\"required\">\n\t\t\t\t<label for=\"form-field-field_99c7671\">I have made a reservation for the group on September 26 and give my permission for photos and videos to be taken and used on our website and social media.<\/label>\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_7ee0131 elementor-col-33 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_7ee0131\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tName\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_7ee0131]\" id=\"form-field-field_7ee0131\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-field_7a06006 elementor-col-33 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_7a06006\" 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