Retreat Booking & Health Form

Full name*

First NameLast Name

Birth Date*

DayMonthYear

Address*

Street Address

Street Address Line 2

CityState

Post CodeCountry

E-mail*

example@example.com

Phone Number*

Emergency contact*

First NameLast Name

Emergency contact phone number*

Please enter a valid phone number.

Health Details

In order for us to best serve each participant on the retreat, please answer the following questions. All answers will be kept strictly confidential.

Are you experiencing any of the following, please tick*

	Yes	No
Diabetes
High Blood Pressure
Low Blood Pressure
Back Pain
Are you, or could you be pregnant?
Are you now taking any prescribed medication?*
Arthritis
Epilepsy
Bone/Joint/Muscle Pain
Osteoporosis/Osteopenia
Joint Replacements or Joint surgeries
Hypermobility Syndrome
Hormonal Imbalances
Peri-menopause/Menopause symptoms
Menstrual Disorders e.g PMS, PMDD
Pelvic Floor Issues e.g bladder weakness, prolapse
Other
No Medical Symptoms

If you answered "Yes" to any of the questions above, give details of all occurrences. *

Do you have any specific dietary requirements/allergies?*

What level of yoga experience do you have? Please tick:*

BeginnerImprover (have done some yoga, but not consistantly)ExperiencedAdvanced

If you ticked the experienced or advanced. How long have you been practising?

What types of yoga have you practised? i.e Vinyasa, Iyengar, Well Woman Yoga etc..*

What would you like to achieve from the yoga sessions?*

Is there any other information regarding your personal wellbeing that may be of benefit for us to know in advance? *

What you would like to gain from the retreat as a whole?*

Would you like to book a massage during your retreat?*

Yes pleaseNo Thank youNot sure yet

Preferred sleeping arrangement*

Twin Shared roomPrivate roomTriple Share Room

If you ticked twin or triple room share, please write the names of whom you are sharing with:

1. Reservations

To reserve your place on this retreat please complete the booking form and pay your £300 non-refundable deposit.

2. Payment

Payment can be made by bank transfer to the account below:

Rebecca Dobson

Barclays Bank

Acct No: 90122521

Sort Code: 20-39-53

For retreats where a deposit has been paid, final balances are due on 14th August 2025. If final payments are not received by 14th August 2025, Rebecca Dobson of GetCalmer reserves the right to cancel your reservation and accept new reservations for your space. If you do not think you can pay in time please contact Rebecca via email at rebecca@getcalmer.com

3. Cancellation policy

If you wish to cancel your retreat you must notify Rebecca in writing. Once your notice has been received, cancellation will take effect subject to the following: If cancellation takes place 60 days or more prior to your retreat date any payments made will be refunded minus your deposit. If cancellation takes place between 59-31 days prior to your departure, payments are not refundable, but are transferable (less the £300 non-refundable deposit) to a future GetCalmer retreat. If cancellation takes place 30 days or less prior to the retreat date: payments are not refundable.

4. Retreat Cancellations

In the rare case that the retreat needs to be cancelled, Rebecca Dobson of GetCalmer will offer a transfer to another retreat or a full refund of your funds. Rebecca is not responsible for any expenses or damages incurred as a result of retreat cancellation including preparation costs, airline tickets, travel documents or other expenses. You will not be entitled to claim any additional amounts or seek any compensation for any injury, loss, expenses or damage (either direct or consequential) or for any loss of time or inconvenience which may result from such cancellation (including but not limited to visas, gear purchases, airport and airline taxes).

ACKNOWLEDGEMENT & WAIVER

5. Release and Waiver of Liability

DECLARATION OF HEALTH. By accepting this Retreat Participant Agreement I (the retreat participant) confirm that I have no physical conditions or medical precautions which would adversely affect my ability to take part in the Yoga activity or other physical activities offered during the retreat. I fully understand that my participation in the Yoga or other activities could be injurious to my health and I voluntarily assume all risks related to such activities.

PERSONAL RELEASE. By agreeing to the terms outlined here I hereby release and discharge my rights and claims for damages or liabilities that may occur as a result of participation on a GetCalmer retreat, including but not limited to damages as a result of unexpected occurrences including those from weather, local political situations, wildlife, uncontrollable acts of God, covid-19, pandemics, lockdowns, strikes, travel bans, war and including the risk of death. I release Rebecca Dobson including her partners from liability for personal injury, illness, emotional damage, incurred travel expenses or property damage I may incur as a result of participation on this trip.

For the benefit of everyone on your retreat, Rebecca Dobson reserves the right to accept or reject any participant at any time without liability, and in the event that I determine, in my sole and exclusive discretion, that a participant is disruptive to the harmony of the trip, I may without any obligation to pay a refund or any other amount whatsoever, expel such participant from the retreat. Rebecca Dobson will carry no responsibility or liability for any participant who leaves the trip prior to its conclusion or for any activity undertaken by any participant, which is not included on the retreat itinerary.

Signature

Date Signed

Date

Goddess Retreat Spain

Yoga Experience

Well-being & Hopes for the Retreat

Treatments

Accommodation

GetCalmer Retreat Terms & Conditions