Application Form

Home / Application Form

Application Form

Application Form

MM slash DD slash YYYY

Person to Contact in case of Emergency:

Do you feel Prepared to follow Dietary restrictions on Salt, Sugar, Caffeine, Spices, Dairy, Red Meat, Pork, Processed Foods, etc. During your stay at Yosi Ocha?
Do you understand that during the Retreat you may not engage in any type of Sexual Activity, including Masturbation?
Max. file size: 50 MB.

Note :

  • I have read and accept Isa Yaka's Terms and Conditions.
  • I have read and agree to Isa Yaka's Privacy Policy.
  • All the information I have provided is true and I have not omitted any essential information of interest to this retreat.
  • I release Isa Yaka from all responsibility for any physical or mental health problems that I may suffer during my stay at the center, related to previous problems in my health that I have omitted in this application form.

Facebook Instagram WhatsApp
Whatsapp / Call / SMS / Email
Call Now