Michelle Ruiz
Home
About
CLASSES
RETREATS
EVENTS
Contact
BLOG
SHOP
Participant Information
*
Indicates required field
Name
*
First
Last
Email
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Phone Number
*
Date of Birth
*
Emergency Contact
Name
*
First
Last
Email
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Phone Number
*
Relationship
*
Please select preferred room type
*
One King Bed
2 Double Beds
Upgrade to Suite ( contact for rates )
Please list any dietary restrictions or special needs
*
Submit
Home
About
CLASSES
RETREATS
EVENTS
Contact
BLOG
SHOP