Registration Form Logo
  • Nidra and Sound with Andrea and Terra

    Festival of Walking: Women's Wellbeing Weekend

    22-24 September 2023

  • Guest Information

    Please complete one form for each guest. This is an inclusive adult women's only retreat and we are excited to have you join us to relax, connect and enjoy nature.

  •  / /

  • Emergency Information

  •  -

  • Personal Preferences

    We ask these question to ensure we can make the experience as restorative, safe and fun as possible. If you feel uncomfortable or have any questions, please email ayisatu@idaraya-life.org

  • Supporting Information

    We collect this information to help our funders understand the need for these types of opportunities, to better understand how we can best support women and plan future retreats and events.

  • Guidance

    Feel free to write as much or as little as you feel. If you would rather send a voice note or have phone call to answer the questions in this section, please let us know.

  • 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 substitute for medical attention, examination, diagnosis, or treatment.

     

    I will receive mental and physical health related information and instruction. I recognise that all physical activity require physical exertion that may be strenuous 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 hosts - Ayisatu Emore and Alice Coren.


    I may rest at any time during the sessions and over the weekend. I will listen to my body and respect its limits on any given day.


    I understand that it is my responsibility to consult with a Medical Practitioner prior to and regarding my participation in any activity program. I represent and warrant that I am physically fit and I have no medical condition that would prevent my participation in activities or workshops.


    I recognise that it is my responsibility to notify the host of any serious illness or injury before every class.


    I accept that neither the hosts, nor the hosting facility, are liable for any injury, or damages, to person or property, resulting from my participation in this reatreat.


    I understand that the Weekend Retrest is Fully Funded by the Youth Hostel Association (YHA) and that there is no monetary contribution required from or provided to me.

    I agree to inform the hosts as soon as I am aware of any reason that I will no longer be available to attend the Women's Wellbeing Weekend.

    Exclusion of Participation: 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,facilitators, 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 and the guest will be required to make their own way home.


    I have read the above release and waiver of liability and fully understand it’s contents as well as the Cancellation Policies. I voluntarily agree to the terms and conditions stated above.

  • Confirmation

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

  • Should be Empty: