Hannah & Helen's Yoga Retreat Booking

Hannah & Helen's Yoga Retreat Booking

Thank you for booking on to our retreat. This booking is for our 27th October 2023 retreat at Charney Manor.
Name*

First NameLast Name
Mobile number*
Please enter a valid phone number.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact Name*

First NameLast Name
Emergency contact relationship to you*
eg husband/wife/sister/mother
Emergency contact phone number*
Please enter a valid phone number.
Which room type would you like to book?*

Single room £495Double room £475 per person based on two sharingTriple room £475 per person based on three sharing
If sharing a room, who are you sharing with?
So we can ensure you're in the same room

Health questionnaire*

	YES	NO
Do you have a heart condition?
Do you have any illness or injury? (if yes list details below)
Are you a smoker?
Do you have any allergies? (if yes, please list below)
Do you have any physical disabilities? (if yes, please list below)
Are you currently taking any medication? (if yes, please list below what it is for)

Please list any details to any YES questions below
Dietary requirements. The retreat is all vegetarian so please list any other requirements
ie vegan, coeliac, gluten free, dairy free etc
Your yoga experience...*

Totally new to yogaHave done some yoga in the pastDo some yoga regularly but no expertExperienced yogi
Is there anything else we need to know about you to give you the best retreat weekend? Please type below
I confirm by signing below that all the above information is correct to the best of my knowledge. If anything changes with my health or wellbeing I will inform Hannah and Helen by emailing hannah@leanbodyvision.com

I understand my place on the retreat is transferable but non refundable.

I will transfer 50% payment as a deposit and send final payment five weeks before the retreat to the details below.

Hannah Johnson and Helen Campbell
sort: 309233
account: 27587063
Lloyds bank

Ref: *YOUR NAME* yoga
Signature*

Clear
Please transfer your 50% booking deposit today and we will confirm receipt. THANK YOU so much for booking on. We cannot wait to see you. We will email your packing list and agenda the week before your retreat.

Hannah and Helen :)
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