ENGLAND registration form:

Step #1: Fill out the registration form:

(After submitting application you can pay a deposit, and I will reach out to confirm!)I respect your privacy. This information will stay confidential, only I will be seeing this and this information is used for the purpose of helping applicants gain the most benefit for them out of this retreat experience.
Name

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Date of Birth
Gender
Preferred Pronouns
Emergency Contact

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.
In a few short sentences, tell me about yourself
How often do you practice yoga? (Beginners welcome! We just want to know about your background to make this experience for YOU!)

Occassionally1-2 times a week3-4 times a weekDailyNever taken a yoga class
How often do you practice Pranayama (Breathwork)? (Beginners welcome! We just want to know about your background to make this experience for YOU!)

Occassionally1-2 times a week3-4 times a weekDailyNever
How often do you practice meditation? (Beginners welcome! We just want to know about your background to make this experience for YOU!)

Occassionaly1-2 times a week3-4 times a weekDailyNever
If you practice yoga, what type of class do you usually attend or style do you practice (ex. flow, hatha, yin, ashtanga, kundalini, etc.) *N/A if you don't practice yoga.
What are your wellness, health, physical and/or soulful goals ?
Have you joined an international yoga retreat before? If yes, where and when?
What would you like to receive from this retreat?
What would you like to comeback with from this experience?
What are you most excited for on this retreat?
Do you have any physical or health limitations/conditions or injuries I should know about? (i.e heart, blood pressure, depression, anxiety) or any health concerns that you feel may affect your yoga retreat experience:
Are you on any medications?
Is there anything that you may need for accommodation or accessibility?
Any allergies or dietary restrictions?
What type of dietary plan do you prefer?
Are you pregnant or is there a possibility of you being pregnant. If yes, please indicate your due date.

MonthDayYear
Date
I have read and acknowledge that if on this retreat there is alcohol consumption and if i choose to drink, I will follow the rules accepted by this country/location and be responsible, as well as respectful to others in the retreat, the leader and those housing us/around us. If there is inappropriate behaviour, I can be prohibited from drinking the remainder of the retreat in order to continue to participate.

Yes
I have read and understand the cancellation policy / Reapply policy and know that there are no exceptions.

Yes
I am interested in the following room(s) **Please note that room availability is on a first come first serve basis.

Private Occupancy $4850 (EB Rate) / $5150 (Reg rate) 4 Available!Shared Occupancy (4 King beds) $4650(EB Rate) / $4950 (Reg rate)Shared Occupancy (4 Twin beds) $4625(EB Rate) / $4925 (Reg rate)
Name of friend(s) you want to be placed with in room (if registering with someone) Please put need placement if alone.
Which form of payment are you interested in? (Option will be applicable based on time of enrolment. If past the date you must choose option that is still valid)

I will pay all at once with registrationDeposit + a final payment before Nov 14, 2025Deposit + 2 scheduled payment installments (Nov 14, 2025) + (Feb 1, 2026) (*If you are registering past last date- full payment is due or payment option must be discussed)I require another payment option and would like to discuss
How did you find out about this retreat?
Anything else you feel I should know?
Agreement of Release and Waiver of Liability and cancellation policy.

I hereby agree to the following:

I understand that it is my responsibility to consult with a physician prior to and regarding my participation in any retreat. I represent and warrant that I am physically fit and I have no medical condition that would prevent my participation in fitness classes or excursions.

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

I understand that the $700 deposit for the retreat is final with NO refunds and the balance of my payment is due by Jan 2, 2026. Unless agreed upon payment plan.I also agree that if i cancel out and my payment has not been recieved in full, that there is no refund granted.

I agree that ontop of the retreat cost, there is $150 booking fee.

I agree that;

In the event that I have to cancel, 50% of payment (minus $800 deposit) is refundable up to Jan 1, 2026

In the event that I have to cancel between Jan 2 - Mar 1, 2026, 25% of payment (minus $700 deposit) is refundable.

No refunds granted after Mar 2nd.

~ There is no exception to cancellation policy including weather, personal emergencies, flight cancellations, or delays.

~ If you leave during the retreat, there will be no refund.

***************

I agree that travel insurance, vaccinations and all other info about what is regulated in UK is soley my choice, and Laura is not responsible for any outcomes based on your choice.

If you cancel out there is no automatic space held for you if you decide to change your mind and come. This means you forfeit your space and there may not be availability. A new deposit payment is required as a reinstating fee to cover expenses, losses and costs accrued.

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

MonthDayYear
Date
Signature

Powered by Jotform SignClear
NEXT STEPS:

I am so excited for you to join me in the UK! Once you submit this form, you can reserve your spot by completing a deposit at the link below this application or request from me the payment link to pay in full. I will be in touch with you soon to secure & confirm the room/bed you are interested in and to send you all details and next steps.
Should be Empty:

Step #1: Fill out the registration form: