Retreat Participant Registration Form
Fill out the form carefully for registration
Participant Name
*
First Name
Middle Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail
*
example@example.com
Mobile Number
*
Please share with us your comfort and experience in nature
*
Please share any food allergies
Please share any significan medical conditions and that will restrict you walking on nature trails or being alone in nature.
Please share any significant phsychological trauma that would be helpful for us to be aware of so that we can best support you. Please note that all information in registrations is held confidentially among the facilitators.
Please share your previous experience with Yoga
I acknowledge that until payment is made this registration process is not complete
*
I acknowledge
Submit Application
We have a 1 month cancellation policy. If registration is cancelled less than 1 month prior to the event we will not be providing a refund. If cancelled prior to 1 month or the event is cancelled by the organisor 100% refund will be provided. Please reply yes in the space below to acknowledge that you have read this.
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