Retreat Form

Full name

First NameLast Name

Birth Date

DayMonthYear

Address

Street Address

Street Address Line 2

CityState

Post CodeCountry

E-mail

Phone Number

Emergency contact

First NameLast Name

Emergency contact phone number

How did you find out about this Retreat?

Do you have any physical, mental, or other conditions that may interfere with your ability to participate safely in the retreat, yoga, meditation, hiking and other outdoor activities, e.g., pregnancy, diabetes, anemia, knee problems, back pain, asthma, hearing or seeing impairment, heart condition, PTSD, claustrophobia, medications?

If you answered yes, please explain.

What is your prior yoga experience and your story with yoga? There is no right or wrong answer.

I want to get to know you a little more, please tell me a little about you. Such us Where are you from? What is your profession? What brings you to Argentina? Anything you would like to share ❤️

Even though most activities will be in English, there is a chance some will be in both English and Spanish (depending on the attendees). Do you speak/understand Spanish ?

Do you have any dietary requirements/allergies?

I acknowledge that there is a non-refundable $250 deposit and that the remaining balance is due by September 15th, 2023.

I acknowledge that I assume all responsibility for my own life and well-being, for all the decisions made and their effects, during and after this Retreat contents developed by Natalia Porras. I release Natalia Porras and her team from any liability for damages and sums of money of any kind, arising from participation in the services, products and/or programs offered by Natalia. Participant accepts all of these risks and understands that not every risk is set forth herein. In particular. Participant accepts the risk of contracting COVID-19 during the Retreat and during the travel to and from the Retreat.

A personal travel insurance is not obligatory but suggested. No insurance is provided for Participant by Instructor or by the retreat center.

Initials

Thank you.

You will receive an email confirmation, for your booking shortly.

Registration Form