2022 Harmonize Retreat

First Name*

Last Name*

Pronouns*

she/her, he/him/ they/them or any other combination you prefer

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Birthday*

Date

Occupation*

Where did you first hear about this event?*

If referral or other, please specify

Emergency Contact*

Emergency Contact Relationship*

Emergency Contact Phone Number*

So that we can be of service to you, what is your intention or what do you wish to gain from our retreat experience together?*

How many years have you been practicing yoga? Do you consider your level to be Beginner, Intermediate, or Advanced?*

Do you currently have a meditation practice? If so, how frequent?*

Are you vegetarian or vegan? If yes, please specify which one.

Are you allergic to any foods?*

YesNo

If yes, please indicate

Do you have any injuries or conditions that may need medical attention during the training?**

YesNo

If yes, please indicate

Is there someone in particular that you wish to share a room with?

Rooms & Rates please select one*

$2149 USD Superior Single Room + Brunch & Dinner$1749USD Superior Twin Room + Brunch & Dinner, per person

I understand that*

$300 non-refundable deposit payment is due at time of registration. Full payment is due by May 13th, 2024

I understand that*

when booking a shared room while traveling alone, we will do our best to couple you with another same-sex participant that is traveling solo too. In case this is not possible, you will be required to upgrade and pay for a single room. People are coupled based on the order in which bookings come in. So when you book early, there is a higher chance that you can share the room with another participant.

REFUND POLICY:

It is the responsibility of each participant to book their flights and to find out about flight schedule changes and Covid-19 regulations relevant for their trip.
Travel Insurance is strongly recommended.

Cancellation 90+ days - 100% of the rate (minus deposit) will be refunded or 100% credit voucher towards a future event within 24 months of your initial event start date
Cancellation 60+ days - 50% (minus deposit) will be refunded or 100% credit voucher towards a future event within 24 months of your initial event start date
Cancellation within 30+ - 25% (minus deposit) will be refunded or 50% credit voucher towards a future event within 24 months of your initial event start date
Cancellation less than 30 days prior to retreat start - no refund

EVENT CANCELATION:

In the unlikely event that the program is canceled, full payments will be refunded.

Travel expenditures will not be reimbursed, and are considered each individual's own liability.

Travel Insurance is strongly recommended.

Liability Waiver:

Tara Judelle offers a variety of yoga retreats and trainings internationally. Some of the programs on this training require physical exertion, which may be strenuous and may cause physical injury. We recommend that you consult your physician before beginning any program. Students must listen to their own bodies and work within their own limitations. If any movements hurt or are uncomfortable; it is your responsibility to never take any exercise to a level of discomfort or pain.

Notice is hereby given that all arrangements made on behalf of participants are made by the organizers on the sole condition that the organizers shall not be held responsible for any injury, death, accident, illness, delay, loss, damage, act of negligence, or irregularity. Tara Judelle acts only in capacity as agent for the participant in all matters connected with hotel accommodations, sight-seeing tours, transportation and other travel expenses, whether by air, rail, bus, motorcar, boat or any other means and as agent holds itself free of responsibility for any damage occasioned by any cause. The undersigned hereby also agrees to indemnify and hold harmless Tara Judelle or any other instructors or facilitators, from and against liability, damages, costs, loss or expense (including without limitation, attorney’s fees) arising out of any bodily injury, illness, or loss at any time sustained by the undersigned.

Talent Release:

I hereby give permission in perpetuity and without fee to Tara Judelle, to use photography and footage in which I may appear in any media or format for Tara Judelle advertising and related promotional purposes. I acknowledge that Tara Judelle owns all rights to the photography and footage. I appear voluntarily and there is no existing restriction or obligation that would prevent me from appearing.

YOUR REGISTRATION IS NOT COMPLETE UNTIL YOU ACKNOWLEDGE THE WAIVER AND CLICK SUBMIT

I have read and understood*

the above refund policy and liability waiver

Please Sign*