Unbound Retreat Registration

Unbound Retreat Registration

Welcome to your most expansive year yet.
Full Name

First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
What are you hoping to experience by participating in Unbound?
Do you have experience with any of the following? Check all that apply.

Other
Please add any details you'd like about prior experience with any of the practices listed above.
Dietary Restrictions

Other
Please describe any dietary restrictions you have.
Movement Limitations or Physical Restrictions

Other
Please describe any particular physical restrictions or mobility needs you may have.
How did you hear about this retreat?
Is there anything else you'd like me to know?
Emergency Contact Name
Emergency Contact Phone Number
Emergency Contact Relationship
CANCELLATION POLICY: Cancellations made 14 days or more before the retreat will receive a full refund. Cancellations made within 14 days are non-refundable, but your spot may be transferred to another person with prior notice.
LIABILITY WAIVER: "I understand that meditation, movement, and group activities involve inherent risks, and I am participating voluntarily. I accept full responsibility for my wellbeing and release the facilitators and venue from liability for injuries or harm that may occur during the retreat, except in cases of gross negligence."
Signature

UNBOUND Retreat

$275.00 Quantity

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