Tigmi 28 October - 4 November
Retreat registration
Email address
Name
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Address
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Mobile Number
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Date of Birth
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Emergency Contact Name and Number
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Do you have any medical conditions which might effect your trip?
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If you answered yes, please elaborate or email/ring Jennifer to provide further information
Your answer
Dietary restrictions
Do you have any allergies (including dietary)? If yes, please list:
Your answer
Please confirm your room preference (single, twin, double, triple) and if shared, the name of the person you will be sharing with.
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Please confirm your flight arrival/departure details below (if you do not yet have these you can also email them to jennifer@pureyogazone.com)
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I understand that submitting my form means I have read and understood the Terms & Conditions of booking. (http://pureyogazone.com/retreat-terms-conditions/)
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