Guest Retreat Form

A few questions so I can hold the right room, plan the meals, and make sure the week meets you where you are. It takes two minutes.

Name

Phone (optional)

Do you have a preferred room type?

Select all that apply.

Dorm Room$2,500 · Shared by 4Standard Mahakala Room$2,875 · 2 rooms · shared by 2Sea & Mountain View Suite$3,000 · 2 suites · one with balconyMountainview Ensuite with Balcony$3,160 · Private roomNo preferenceOther — paint me your dream setup or a back-up plan

Is there a roommate you'd like to prioritize?

If you're coming solo, I'll pair you thoughtfully.

Would you like a solo room?

Available for up to three spots at an extra $650 per person on a first-come, first-served basis.

Select all that apply.

YesNoTell me moreOther — spill the details

Do you have any dietary restrictions?

Is your passport up to date (valid at least 6 months past the trip)?

Select all that apply.

YesNoNot sureOther — my passport story is complicated

What are you looking for in being part of this retreat?

Select all that apply.

Where are you on your current journey with yoga?

Select all that apply.

A beginner — just a few classesDiscovering my practice — it ebbs and flows with lifeCommitted to a regular practice and here to elevate itNot sure, it depends on the dayOther — describe your practice in your own words

Have you ever joined a wine tasting before?

Select all that apply.

YesNoOnce or twiceOther — tell me your wine origin story

What kind of wine experience sounds best to you?

Select all that apply.

A detailed wine experience — visits to 3–4 vineyardsA few wine experiences mixed with history and day trips (boat tour, etc.)A balance of bothNot sure yetOther — design your perfect wine day

Would you be interested in a bike ride to a winery?

Select all that apply.

YesNoMaybe — tell me moreOther — pedal at my own pace

Anything else you'd like to share? (optional)

Share your hopes and dreams, and any concerns you might have about the experience — anything you want to work on or weave in. There are no wrong answers.

Your answers go straight to Jaime — no email app needed.