Do you have any heath concerns or Injuries we should know about? *
Your answer
Do you have any dietary restrictions?
Your answer
Which retreat? *
How much personal growth or self development work have you done? (It's ok if the answer is zero)
Your answer
Who is an emergency contact person? Name/Relationship/phone number
Your answer
Agreement by the registrant to the use and distribution of the registrant's image or voice in photographs and videos of such events and activities hosted by Shara Ogin.
Clear selection
Liability Release: By signing below, I release Shara Ogin and assistants from all liability which may arise from any and or all claims by me or any third party in connection with my participation in the retreat. Please type your name below.