Whole Self Mapperton Retreat with Julie Montagu

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I'm so pleased that you would like to come on my yoga and wellbeing retreat at our 500 year old home, Mapperton!

Please fill in the form below, including your preferred room type, and we will get back in touch with you to confirm your application. Please make sure you read our terms and conditions before completing the form.

I'm expecting this retreat to be oversubscribed, so places and rooms will be allocated on a 'first come first served' basis.

Once your application has been confirmed we will provide you with an offer of accomodation as well as details for bank transfer for the non-refundable deposit. You will then have three working days to make a payment before the room is offered to someone else. We will also send you travel and location details.

If you have any questions please email me at julie@juliemontagu.com.

I really look forward to welcoming you to Mapperton!

Julie xx

REGISTRATION DETAILS

Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

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Postal / Zip CodeCountry

Email*

example@example.com

Phone Number*

Gender *

Emergency Contact Name*

First NameLast Name

Emergency Contact Email*

example@example.com

Emergency Contact Phone Number*

How did you first hear about us?

Please select your preferred Retreat date*

TYPE OF ROOM

Please select your preferred room type*

Main House: Historic Great Chamber (four poster, own bathroom) 1 person £1595Main House: Historic Chapel Room (four poster, shared bathroom) 1 person £1295Main House: Historic Tudor Room (four poster, shared bathroom) 1 person £1295Main House: Single Room (one single bed, shared bathroom) 1 person £1195Main House: Double Room (two single beds, own bathroom) 2 person £1095 per personGarden Cottage: Single Room (one single bed, shared bathroom) 1 person £995 per personGarden Cottage: Double Room (two single beds, shared bathroom) 2 person £895 per personMain House: Double Room 1 person £1295

Please provide the name of the person you will be sharing with (if sharing)

Please describe your yoga level & any injuries / relevant health issues*

Please provide any dietary preferences / food allergies

Other Comments / Questions

RISK ACKNOWLEDGEMENT AND WAIVER

I acknowledge that I have voluntarily applied to participate in Julie Montagu Limited’s ("JML") Mapperton Yoga Retreat ("Retreat"). In consideration of JML accepting my application for participation of this Retreat, I agree to this release of claims, waiver of lability and assumption of risks.

On behalf of myself, my heirs, executors, administrator and any other person who may have an interest at common law or by operation of statue, I hereby waive any and all claims I or such parties may have now or in the future.

I release from liability JML and any other assistants or employees for any personal injury, death, property damage or loss or any nature suffered by me as a result of participation in any activity on the retreat. I am medically, physically, emotionally and in all respects fit and able to participate in this Retreat.

I will faithfully follow all instructions given to me as to when, where and how to perform and not to perform yoga poses, it being understood that any deviation by me from such instructions shall be at my own risk.

In consideration of being permitted to participate in this Retreat I agree to assume full responsibility for any risks, injuries or damages which I might incur as a result of my participation in the Retreat.

I have read carefully and understand this agreement with JML and sign it of my own free will.

I have read and accept the terms and conditions of this Retreat.

Please indicate your acceptance of the waiver and terms & conditions by signing in the box below using your cursor (doesn't have to be neat!) and entering your full name and date underneath.

Name*

First NameLast Name

Date*

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Whole Self Yoga Mapperton Retreat Application Form