Late Summer Revival Application

We will respond to your booking in 1-2 business days. Please note your space is not secure until you have then paid your deposit. If you have an issues with the form please contact us at hello@unite-yoga.com

FULL NAME*

FIRST NAMELAST NAME

E-MAIL*

myname@example.com

PHONE NUMBER*

INCLUDE COUNTRY CODE IF NOT FROM UK

DATE OF BIRTH*

TYPE OR SELECT FROM CALENDAR

ROOM PREFERENCE*

ROOM ALLOCATIONS ARE BASED ON A FIRST COME FIRST SERVE BASIS ONLY. IF YOUR ROOM REQUEST IS NO LONGER AVAILABLE WE WILL HELP YOU FIND THE NEXT BEST OPTION. YOUR DEPOSIT IS A 3RD OF YOUR TOTAL FEE AND IS NON REFUNDABLE.

COMING WITH FRIEND/FAMILY/PARTNER?

NAME THEM HERE AND WE WILL ENSURE YOU ARE ROOMED TOGETHER & YOU BOTH GET ADDITIONAL DISCOUNT!

PAYMENT OPTION*

SELECT HOW YOU WILL PAY FOR THE RETREAT. YOU'LL RECEIVE AN EMAIL WITH THE PAYMENT DETAILS AFTER SUBMITTING YOUR BOOKING. PAYMENT DATES CALCULATED FROM BOOKING SUBMISSION.

DIETARY PREFERENCE*

VeganVegetarianPescatarian

ANY DIETARY RESTRICTIONS OR ALLERGIES

PLEASE LIMIT TO MEDICAL AND/OR RELIGIOUS RESTRICTIONS

ANY EXISTING HEALTH CONDITIONS OR PHYSICAL LIMITATIONS?

PLEASE REMEMBER DAN & TAYLOR ARE YOGA INSTRUCTORS AND NOT TRAINED PHYSIO THERAPISTS OR HEALTH CARE PROFESSIONALS. IF YOU ARE CONCERNED ABOUT AN INJURY, LIMITATION OR HEALTH CONDITION PLEASE CONSULT YOUR DOCTOR FOR APPROVAL FIRST.

Click Here to read the full retreat terms & conditions

Agreements and Understanding*

I have read and agree to all of the Retreat Terms and ConditionsI have filled this form out honestly and to the best of my knowledgeI understand that my deposit is non-refundable

After submitting this form, you will be placed in the queue of first come first serve. You’ll be sent an email from Unite Yoga confirming your room choice and payment options, together with a payment link to pay your deposit.

ELEMENTAL ESCAPE