Application Form

Ancient Lomi Lomi immersion Retreat • Maui

February 15-28, 2017
 

Please submit a deposit and fill out the application below

 

Take me back to 'Details of this Retreat'


Kahuna Bodywork • Maui Immersion • February 16-29, 2017

Name *
Name
Address *
Address
Phone *
Phone
Deposit / Payment Completed *
Are you on any prescription or other medication? *
Where did you hear first about us?
Terms & Conditions of My Registration *
http://www.lineageoflight.com/cancellation-policy/

Accommodations & Fresh, Organic Meals:

Payment for Accommodations & Meals will need to be complete by January 15, 2017

Accommodations

Fresh Organic Meals