Costa Rica: Casas Kismet (April 22-29, 2023) Booking Form + DepositYou will be asked for payment upon completion of this form. A $400 USD non-refundable deposit is required to complete your booking.Choose Your Room* Single Occupancy (0 left) Double Occupancy (1 or 2 beds) (0 left) Triple Occupancy (3 beds) (0 left) 2 Roommate Spots in a Triple Room (3 king beds) (0 left) Room preference sold out? Please contact Melanie to be placed on the waitlist: novayogaretreats@gmail.comTotal $ 0.00 CAD HiddenCurrency* U.S. Dollar Participant InfoName* First Last Email* Enter Email Confirm Email Phone*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Date of Birth (month, day, year)* Gender Identity & Pronouns Single or Double Occupancy?* One or Two Beds?* Roommate Request Dietary Requests (if none please write N/A) Medical Conditions, Concerns, or AllergiesEmergency Contact (Name, Email, & Phone)* How did you hear about us?I'm a past traveller (Welcome Back!)A friendWebsiteGoogle SearchInstagramFacebookNewsletterOtherTerms & Conditions* I accept the Terms and Conditions Click here to read Terms & Conditions.Our cancellation policy is as follows: If you cancel your booking 90 days before the retreat start date your deposit (less $75 CAD, $75 USD, or €75 EUR depending on the currency of your retreat) and other payments may be transferred to another Nova Retreats Inc. trip (within one year of current retreat), space permitting. If you cancel your booking less than 90 days before the retreat start date all monies paid will be forfeited. Trip cancellation/trip interruption insurance is strongly recommended. In the event that the trip is postponed for any reason, including any force majeure event, all monies paid will be converted into travel credit that can be applied to a future Nova Retreat Inc. trip; this credit is transferable and expires one year from the original retreat date. Nova Retreats Inc. is a small business that proudly works with intimate, family-run hotels and venues and we are unable to offer refunds of any kind. If you require more security, please talk to an insurance broker about a comprehensive travel plan that will offer you the coverage you need. Thank you for understanding.Referred By (name)