Participant Form

Tell us about your experience

Participant Form


  • (if you don’t want to provide your birthdate, please provide your age)
  • (please include dates - we have many Cowgirl Yoga retreats, so don’t just write “Cowgirl Yoga”!):
  • Emergency Contact Info

  • Retreat Questionnaire

  • We will match you with a roommate if you are traveling solo; otherwise please indicate that you have booked a single room. If you are coming with a friend/partner and plan to room together, please put her name here.
  • (birthday, big life event)? We’d love to help you celebrate!
  • Medical & Dietary Info

  • Tell us about your food preferences too (i.e. can’t stand chicken, love any kind of beans, etc.) the more specific you are, the better! Please note: we will accommodate all dietary restrictions. Every effort will be made to accommodate dietary preferences, but sorry, we cannot guarantee it, especially if your list is long or complicated.
  • Fitness Info

    Please contact us if you have any questions about your ability to participate in activities. We suggest that you consult your physician about participating following any serious illness or injury. We strongly recommend that you use the time prior to your retreat wisely to increase your fitness level so that you can get the most out of your active vacation.
  • Include the activities you participate in (running, weights, swimming, cycling, pilates, etc.), the frequency with which you participate in each activity (how often, how far, how long), how long you have been doing each activity, and any other relevant info.
  • (weight loss, stress reduction, feeling good, etc.)
  • Which styles do you enjoy most, have you attended other yoga retreats, are you a yoga teacher, etc. Otherwise please indicate that you are a beginner.
    For yoga and ski retreats
  • For Cowgirl YogaTM retreats
    For yoga and hiking retreats:
  • Your Intention

  • Please share your intentions, goals, hopes and dreams, etc.!
  • (please call if you would like to discuss.)