Yoga Escapes Participant Form
To help us prepare for our yoga retreat, please fill out the form below:
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Your yoga week: *
Full name: *
City and country of residence: *
Mobile number during the yoga week (including country code): *
Email during the yoga week: *
Emergency contact name: *
Emergency contact phone (including country code): *
Emergency contact - what is their relationship to you? *
Your emergency contact is aware that they are your named contact and that their information will be shared with Yoga Escapes. *
Arrival date: *
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Arrival flight number: *
Arrival flight time: *
Time
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Departure date: *
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Departure flight number: *
Departure flight time: *
Time
:
Please let us know of any injuries, past surgeries, pains and aches, illnesses, and for women - if you are pregnant: *
How long have you been practicing yoga / are you a beginner? *
Which yoga styles do you practice? *
Are there any specific yoga poses you'd like to work on or learn during the week?
Please confirm that you consent to your health information being shared with the yoga teacher so she can make adjustments to her classes: *
Any dietary restrictions (vegetarian, vegan, gluten-free, dairy-free etc.): *
Any allergies: *
How did you hear about Yoga Escapes? *
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