Tree Yoga Retreat Registration
Email address *
I am registering for the following retreat *
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Name *
Your answer
Address *
Your answer
Phone number *
Your answer
Age *
Emergency Contact Information *
Your answer
Do you have any limitations that you would like the teachers to be aware of? *
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If you answered yes to having limitations what are they? *
Your answer
Do you have any allergies? Food, Medicine, environmental? *
Your answer
Meal preferences (Retreat is vegetarian) *
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Payment Options. Total cost $450. Deposit of $50 due with registration. *
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If at any time during the class, you feel discomfort or strain, gently come out of the posture. You may rest at any time during the class. It is important in yoga that you listen to your body, and respect its limits on any given day.I, the undersigned, understand that yoga is not a substitute for medical attention, examination, diagnosis,or treatment. I should consult a physician prior to beginning any activity program, including yoga. I recognize that it is my responsibility to notify my teacher of any serious illness or injury before every yoga class. I will not perform any postures to the extent of strain or pain.I accept that neither the instructor, nor the hosting facility, is liable for any injury, or damages, to person or property, resulting from the taking of the class. Those under 18 years of age must have this form signed by a parent or guardian. I authorize the verification of the information provided on this form is accurate. *
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