Name *

First Name

Last Name

Phone

(###)

###

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Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Please tell us your key reasons for choosing L'Art De Vivre Retreat *

Yoga

Meditation

Workshop

Breath

Taste Of France /market / country /villages

Relaxation

Creating New Friends

Learning New or Revisiting Life skills

How did you hear about our Retreat *

Via Sue

Via Peter

Website

Linked In

Instagram

Facebook

Recommendation

Other

I understand I am responsible to organise and pay for my own insurances, flights and transfers and any extras such as wine, drinks, free time activities, 1-1s *

yes, I understand and agree