Flourish in Fall Yoga Retreat
Westerbeke Ranch, Sonoma, CA
September 22 - 23, 2024
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First name: *
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Emergency contact phone number: *
Please check any food restrictions/preferences (check all that apply):
If you plan to room with someone, please provide their name below. 
I understand that yoga includes physical movements as well as an opportunity for relaxation. If at any time during the class I feel discomfort or strain, I will notify the teacher. Please acknowledge below: *
I understand that hiking involves physical activity that may cause injury. I will take breaks or rests during the hike if necessary and drink plenty of water to stay hydrated. Please acknowledge below and check the box only if you will be joining us for the hike. 
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I will not attend the retreat if I have been exposed to Covid-19 within 7 days of the retreat. Please acknowledge below:  *
I understand that space is limited and that my payment is non-refundable. If for any reason you are not able to attend you will receive a full refund if you can fill your spot. Please acknowledge below: 
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Payment details: 
A $200 nonrefundable deposit is due with with registration to hold your spot. 

Remaining balance is due August 1, 2024.

Venmo: @Stacy-Whittingham
Zelle: stacywhittingham@gmail.com
Check: Payable to Stacy Whittingham
Mail or drop off at Leap Yoga, Attn: Stacy Whittingham, 1725 Iron Point Rd, Folsom, CA 95630
Credit Card: Call Stacy Whittingham @ 916-220-0373
I have read and fully understand and agree to the above terms of this agreement and release Stacy Whittingham and Gena Foreman from any and all liability.  *
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