TeenYoga Summer Camp Cornwall
1 - 3 August 2017, Mount Pleasant Eco Park, Porthtowan, Cornwall
Name of Young Person attending
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Age
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Gender
Name of parent, carer or guardian
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Email address
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Address
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Emergency contact name and phone number
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Please tell us about any physical health concerns, conditions or injuries that the young person attending has or has had, so that we aware of any concerns to help keep them safe.
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Please tell us about the emotional and mental health and wellbeing of the young person attending, so that we aware of any concerns and are better able to meet their needs.
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Anything else we should know?
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Are they taking any medication? If so please give details.
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How much experience of yoga do they have?
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How much and what type of physical exercise do they usually have and do?
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All the food provided will be plant-based and whole food, and organic and local as much as possible. Does the young person suffer with any food allergies and/or have any dietary requirements?
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Will they be camping on their own or with someone else? Please name who they are sharing with.
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How did you hear about this camp?
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Comments or questions?
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I hereby agree to indemnify and hold harmless H Clare and other staff on the Camp, from and against liability, damages, costs, loss or expense (including without limitation, legal fees) arising out of any bodily injury, at any time sustained by the Young Person. I am aware Yoga is no substitute for medical diagnosis and treatment; that yoga practice and/or specific poses are not recommended for individuals with certain conditions (e.g., cardiac illness, later stages of pregnancy, post-surgery); and that the Parent, Carer or Guardian of the Young Person assumes the risk of yoga practice and other activities and releases the teacher, staff and venue from any liability claims.
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Payment Terms & Conditions: A non-refunded deposit is required to secure your place, the remainder is due no later than 8 weeks before the start of the retreat, for which you will receive an invoice. In the event of cancellation: 60 days or more prior to the retreat: Your entire payment will be refunded, less £75 which is your deposit. 59-30 days prior to the retreat: Payments are not refundable, but are transferable (less £75 deposit) to a future retreat. 29 days or less prior to the retreat: Payments are not refundable. Should Helen Clare Yoga cancel for whatever reason, you are welcome to a full refund (not including any travel expenses), or a place on a future retreat.
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Signed (by parent, carer or guardian of young person attending the Camp)
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