Big Island Body and Soul Experience

Big Island Body and Soul Adventure Experience Registration Form:

Aloha! Thank you for your interest in our Adventure Experience! We're going to have a BLAST! All information you share with us will be held in the strictest of confidence. At no given point is information disclosed or shared.

Full Name *

First Name Middle Name Last Name

Date *

Month Day Year

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Birth Date

Month Day Year

Phone Number *

This is my:

E-mail *

Emergency Contact *

Phone Number *

This is an Adventure Experience. Before you commit, please take these questions seriously:

Swim: You'll be swimming in the ocean and normally the waves is pretty easy going and there are experienced swimmers to help you if needed. Still, it's the ocean and you'll be expected to be able to swim comfortably. Are you a comfortable swimmer?

Handle surprises: This is an adventure experience and even though we do our best to think of everything, surprises do happen. Are you willing to be flexible with the possibility of unexpected circumstances and go with the flow?

Be in community: You will be sharing a luxury vacation home with the other participants. This means possible shared bathrooms. Are you willing to be in community?

Please click "Yes" if you agree with the above questions: *

Yes No

Do you have any medical conditions or medications we need to know about: *

Do you have special dietary needs? *

Please list any foods you're allergic to:

What do you like to have for lunch? *

What are your favorite snacks?

Is there anything you may need that we could do for you to make your trip AMAZING?

Are you interested in getting a massage during your stay? (additional fee)

Alcohol: Depending on your answers below we may have a drink for you in the evening. There will also be non-alcoholic beverages and this is only a one or two drinks max per evening. This isn't a "party" trip and we'd like to accommodate you if you like to relax with a glass of wine or beer. (Included)

If you mind alcohol being present, we want to know. We honor recovering alcoholics.

Do you drink alcohol? *

Yes No

If yes, what kind of alcohol do you like?

Do you mind if alcohol is on the premiss? *

Yes No

Travel Requirements: The dates of your Adventure Experience are: November 15-21 2016.

We'll be picking you up so please let us know your arrival and departure times as soon as you can. Choose a flight that gets you into Kona, Hawaii between 12pm- 3pm on the 15th and leaves no later than 1pm on the 21st, unless you are extending your trip and have other accomodations.

Early Arrival: If you come in early, let us know and we'll hold your lugage and drop you off at the beach so you can rest in the sun, swim or snorkel before we check-in to our retreat home.

Note: We do not know when we'll be back in Kona on the 20th so please do not book your flight home on that day unless it's a midnight flight (not recommended).

Lowest Fare Flight: I have found the lowest fare flights to be with www.smartfares.com and if you call: 877-245-3755 you can get the best deal. FYI: This is a 3rd party so if you need to make changes, that may take some time on the phone.

Please click that you understand the travel requirements: *

Yes No

Hold Harmless and Release of ALL Liability: By signing up for this trip I take FULL responsibility for my participation on all the adventures, car rides and other activities during my Big Island Body and Sour Experience. I declare that I am of good health with no major risk or coronary heart disease, hypertension, or any other physical, orthopedic, metabolic, or mental conditions that may be aggravated by this experience. While doing the exercises I understand it is recommend to obtain a medical release if I am male over 45 or female over 55 and have not participated in a regular exercise program in more than 6-months. I understand if I am female and pregnant is it recommended to seek my doctor’s approval before participating in the trip. I release all claim to the Pilates Cardiocamp, Michelle Melendez and Rebecca Melendez and assume FULL responsibility and risk of any injury that may occur including death while participating on this trip. I also understand that when doing cardio during my trip I may be running on public roads and I assume full responsibility and risk for my presence on such roads I hold harmless and release ALL claim against Pilates Cardiocamp, Michelle Melendez and Rebecca Melendez should I be injured or worse. By my electronic signature below, I agree to the policies and agreements above.

Signature *

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