Mini Retreat Registration Page
We are so glad you have decide to join us for a day of rejuvenation through movement, play and creativity. Please fill out the form below and we will send you an invoice.  Please email Jessa at jessaphoto@gmail.com with any questions.
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Name *
email *
phone # *
Ticket Choice *
Do you have your own mat? *
Does you have any previous injuries, surgeries or medical conditions or allergies that we need to know about? Including food preferences. *
Waiver *
 I, the below named individual, understand that I will be participating in a yoga class with Jessica Buchalter RYT,  during which I will receive instruction on yoga and actively participate in yoga and related exercise. I understand that yoga requires physical movement and bodily exertion, which may result in an accident or physical injury. I, for myself my heirs, administrators and successors, intending to be legally bound, hereby release and indemnify Jessica Buchalter and Amalia Thomas from and against all claims liabilities, damages or causes of action arising out of or in connection with my participation in the class, without limitation.
A paypal invoice will be emailed to you. Please provide payment via paypal or by cash or check (made out to Jessica Buchalter) before March 1st for early bird pricing or before the start of the retreat for standard pricing. Comment below with any questions or concerns.
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