Retreat Weekend Registration & Disclaimer
Must be completed by all students attending a Retreat Weekend Day with Sarah Powell Yoga Ltd.
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First Name *
Last Name *
Email *
Address *
Phone number *
Emergency Contact Name *
Emergency Contact Number *
Please tell me about your yoga experience?
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Complete beginner (never practiced yoga)
Regular Yogi (not with Sarah Powell)
Regular Yogi with Sarah Powell
Many years of experience (5+ years)
Looking for Level 2 (inversions & handstands!)
Yoga Teacher looking for CPD hours
Looking to become a Yoga Teacher
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Injuries and Medical Conditions *
Please let us know of any food allergies ...
Please let us know of any dietary requirements and we will do our best to adapt the menu ...
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Gluten free
Other (please email in)
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How did you find out about this Retreat?
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Word of mouth
Google or search engine
FaceBook advert
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Your details are kept confidential.

Medical information is only collected for the purpose of sharing with emergency personnel in the case of an emergency.

Your contact details are not shared with anyone outside of Sarah Powell Yoga Ltd. and will only used for the purpose of correspondence with you.
Liability Release
I, the participant, acknowledge the following:

- Yoga involves some physical activity which involves some risk of injury
- I have received advice from my physician with respect to any past or present injury, illness, health concern or medication that may affect my participation in this physical activity and have clearance to participate
- I have listed all injuries and medical conditions on this registration form
- I understand Sarah Powell and staff have a duty of care to uphold and outside of that duty of care, any injuries or loss are my responsibility.

I hereby release Sarah Powell from liability arising from injury or loss outside of her duty of care.
I have read, understand and agree to the liability release *
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