PMac Fitness April Retreat Registration

PMac Fitness April Retreat

April 17th-21st, 2023
Guest Information
Name*

First NameLast Name
Date of birth *

DayMonthYear
Date
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Address *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Room types & prices

Double. Enjoy a double room all to yourself (single occupancy) £1750ppDouble shared. Share a double room with a friend or we'll organise someone for you £1425ppSuite. Enjoy a luxury suite all to yourself (single occupancy) £1900ppSuite shared. Share a luxury suite with a friend or we'll organise someone for you £1600pp
If booking a shared room, please specify if you're sharing with a friend or are happy for us to organise someone for you (double room/suite)
Do you have any dietary requirements or allergies? (e.g. gluten-free, vegan, peanut allergy etc.)*
Do you have any medical conditions or injuries?*
Are you pregnant or is there any possibility of you being pregnant?*
What inspired you to come to this retreat? What would you like to achieve/focus on?*
Have you practiced Yoga before?*

YESNO
If YES, what type of yoga have you practiced?*
Have you practiced Pilates before?*

YESNO
What is your preferred T-shirt size? (Standard unisex size) *
Please list your 2 closest airports. *
Every effort will be made to book your closest airport however this is not a guarantee. If you live in London, you will likely travel from Gatwick. If you are outside of London, please list your 2 closest airports.
Emergency Information
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Relationship *
Please email a copy of your passport to pmac@pmacfitness.com
AGREEMENT OF RELEASE AND WAIVER OF LIABILITY
I hereby agree to the following:

As I participate in activities offered by the hosts and special guests, I understand that the offerings of this retreat are not a substitue for medical attention, examination, diagnosis or treatment.

I will recieve fitness related information and instruction. I recognise that all exercise programmes require physical exertion that may be strenous and may cause physical injury and I am fully aware of the risks and hazards.

If at any time during the activities I feel discomfort or pain, I will inform and seek assistance from the teacher.

I will give eveything my best effort but I will also rest if needed at any time during the class. I will listen to my body and respect its limits on an given day.

I understand that it is my responisbility to notify the teacher of any serious illness or injury before any class.

I accept that niether the instructors, nor the hosting facility, are liable for any injury, or damages, to person or property, resulting from my participation in this retreat.

I understand that the £250 deposit for the retreat is final with no refunds and the balance of my payment is due by 20th March 2023, one month before the retreat. Cancellation fees will apply due to associated costs such as the catering service, accomodations, special guests etc. I agree that all cancellations made less than four weeks in advance of the retreat be paid in full and that I may transfer my spot to another person.

I understand that I will need to email a copy of my passport and that my flights will be booked on my behalf and I will be expected to travel to the chosen UK airport, even if it's not the closest one to me.

Exclusion of Particpation: In the unfortunate circumstance, if a guest conceals physical and/or health issues, is unfit, and/or causes disruptions that endanger the provision of the service and/or the health of other participants, facililators or equipment the guest can be excluded from the participation of the Retreat after an initial warning. If the situation arises, the contract will be terminated without further notice, already paid costs are non-refundable and incurring costs are to be paid by the guest.

I have read the above release and waiver of liability and fully understand it's contents as well as the Refunds/Cancellations policies. I voluntarily agree to the terms and conditions stated above.

Confirmaition

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORGINIAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS THE ORIGINAL PAPER SIGNATURE.
Signature

Powered by Jotform SignClear
Should be Empty:

PMac Fitness April Retreat

Guest Information

Emergency Information

AGREEMENT OF RELEASE AND WAIVER OF LIABILITY