Yoga & Mindfulness Retreat
Thank you for your interest in our yoga and mindfulness retreat on Sat., Sept. 21 from 10 am - 3 pm. If you do not have a Google account and can not fill this out, please let me know- email Thank you!
Email address *
Name(s) *
Children 12+ welcome with a participating adult; suggested donation for ages 12-17 is $90. Please list names & ages of children attending with you. (Please skip if not applicable.)
Phone number *
If the Sep. 21 event is canceled for weather conditions, the rain date will be Sept. 28, 10 am - 3 pm. Should weather prohibit a safe event on both dates, you will have the option for a full refund or for a credit toward future events at Dominion Sanctuary. Participants will be contacted by email and text message by 8:30 am on the day of the event if there is weather cancellation. *
The suggested donation for this event is $100, which supports our 501(c)(3) nonprofit, and is tax deductible. (Receive a Sustainability discount of $10 for carpooling and/or bringing your own plate and utensils!) We are unable to issue refunds after 9/1/19. You will receive a confirmation of your reservation upon receipt of your donation. *
Allergies & Waivers
We plan to offer a delicious vegan lunch and mimosas (non alcoholic options available.)
Do you have any allergies we should know about? (Peanuts, gluten, soy, anything else...) Please explain any dietary restrictions. If you choose to bring your own snacks, we ask that only plant-based foods (no meat/dairy/eggs) are brought onto our property out of respect to the animals. (Skip if not applicable.)
Although we will exercise great caution between our guests and the animals, accidents can always happen and there are inherent risks in interactions with animals. By submitting this form and signing the release upon arrival at the sanctuary, you release Dominion Sanctuary, Allie Gadziemski personally, and any board members and volunteers, from liability of any injury or incident, related to animals, yoga, or landscape that could occur on the property during this event. A signed waiver will be required at the event. *
All yogi levels welcome, even if you have never practiced yoga! Please share your experience level, how long you have been practicing and/or how often you currently practice. You may also share any questions or comments about the event here, and we will respond via email or phone. *
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service