Aligned Flow, LLC Costa Rica Retreat Participant Health Form
Please complete the following form to help me better customize the retreat with you in mind! The boxes will expand to fit your text.
Full Name
*
Prefix
First Name
Last Name
Age and birthdate mm/dd/yy
What drew you to this retreat? Please share any goals or intentions that might help me in supporting you in our week together.
Do you have prior yoga experience? If yes, for how long?
Please list any medical or physical conditions that I should be aware of in creating our daily yoga practices and schedule.
Please list any allergies, dietary restrictions, or preferences so that I can work with our Chef to ensure that your needs are met.
Emergency contact information: Please list name, phone number, and relationship.
In terms of our Yoga and meditation practices, which are you most interested in? Check all that apply?
Energizing and Strength Building
Relaxing and Restorative
Meditation and Chanting
Slow Flow and Gentle
Other
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