HAES Retreat - Registration Form
We are so thrilled you're joining us for the HAES Retreat on 25-29th August in Vermont.
Please complete this form in full, and we will be in touch with more information shortly!
We can be contacted best via email with any questions:
Fi is themindfuldietitian@gmail.com
Dianne is dianne@diannebondyyoga.com

Best wishes!
Fi & Dianne

Name *
Your answer
Preferred email *
Your answer
Full Address *
Your answer
Phone number *
Your answer
Preferred room type Choice 1 *
Bed Preference (if available)
Preferred room type Choice 2 *
Dietary information *
Your answer
Any relevant health or medical information (everything in strictest confidentiality). Please also consider anything that may influence yoga eg. injuries. *
Your answer
Is there any information which would be helpful for us to know, take into account or be aware of to support you before, or during the retreat?
Your answer
Cancellation & refund policy (PLEASE READ CAREFULLY)
$250 non refundable deposit required at time of booking to confirm your space
Full Payment is required 30 days before the retreat (Payment by July 25)
Cancellation of the retreat: Full refund less your $250 non refundable deposit up to 30 days before the retreat with wriiten request
NO REFUND AFTER JULY 25, 2019
Please tick to indicate that you have read, understand and agree to the policy above - thankyou. *
Required
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service