Residential Therapeutic Yoga Break at Domus Mariae If you would like to create an account on this site, check the box below and enter a Username and a password. If you already have an account please login before completing this form. Create an account? Username Check Availability Punctuation is not allowed in a Username with the exception of periods, hyphens and underscores. Password Confirm Password Provide a password for the new account in both fields. Your Registration Info First Name * Last Name * Email Address * Phone * If you have a discount code, enter it here Event Fee(s) * Standard rate - £ 270.00 Total Fee(s) Payment Options Payment Method PayPal I will pay through online banking or cheque. Attendees Room type * Single roomDouble roomTwin room Dietary requirements: Sugar free Wheat free Yeast free Gluten free Dairy free Vegan Vegetarian Other Format preference - none - General Remedial/Therapeutic Mode of travel - none - Can offer lift locally Private (Car etc.) Public (Bus, Train etc.) Mobility aids user: Yes No Wheelchair user: Yes No Please note: PayPal charges commission for events booking online so if you prefer all of your payment to go to YHET, please select "I will pay through online banking or cheque" as the payment type when registering.