LIH Nicaragua Aug 2026 application

Living in Harmony immersion experience Aug 2026 application

I am so happy that you are here!

Please complete the application below so we can connect and see if this retreat is the right fit for you.

First name

Last name

Phone

Do you have instagram?

Birthday

Month

Day

Year

What gender you identify as?

Will you be coming solo or with company? If yes, share their names. Come as a pair or bring a friend and get $100 discount for the both of you!

Which accommodation option are you looking to book? (It is a first come first serve basis.)

How long have you been practicing yoga and which lineage?

Do you have any food allergies or intolerances?

Do you have any physical health challenges?

Some practices during this retreat may include guided breathwork. Please let us know if you have any medical conditions that we should be aware of, including (but not limited to):

Asthma or other respiratory conditions

Heart or cardiovascular conditions

History of fainting, seizures, or panic attacks

Pregnancy

Are you currently or have you in the past suffered from any form of mental health challenges? If yes, please give us details.

Do you have or have ever experienced sleep walking, snoring, insomnia or any other sleep disturbances?

What are you hoping to get out of this retreat?

How did you hear about us?

Friends

Instagram

Website

Other

How would you like us to contact you?

Text

Instagram

Yes, subscribe me to your newsletter to hear about future events and retreats!

Living in Harmony immersion experience Aug 2026 application

I am so happy that you are here!

Please complete the application below so we can connect and see if this retreat is the right fit for you.

Do you have instagram?

Birthday

Month

Day

Year

What gender you identify as?

Will you be coming solo or with company? If yes, share their names. Come as a pair or bring a friend and get $100 discount for the both of you!

Which accommodation option are you looking to book? (It is a first come first serve basis.)

How long have you been practicing yoga and which lineage?

Do you have any food allergies or intolerances?

Do you have any physical health challenges?

Some practices during this retreat may include guided breathwork. Please let us know if you have any medical conditions that we should be aware of, including (but not limited to):

Asthma or other respiratory conditions

Heart or cardiovascular conditions

History of fainting, seizures, or panic attacks

Pregnancy

Are you currently or have you in the past suffered from any form of mental health challenges? If yes, please give us details.

Do you have or have ever experienced sleep walking, snoring, insomnia or any other sleep disturbances?

What are you hoping to get out of this retreat?

How did you hear about us?

Friends

Instagram

Website

Other

How would you like us to contact you?

Text

Instagram

Yes, subscribe me to your newsletter to hear about future events and retreats!