Delight for the Soul Registration

JavaScript non è attivato nel tuo browser, pertanto questo file non può essere aperto. Attivalo e ricarica.

Please complete this form by pressing the submit button. If you have any questions, please contact Amy Tirion at 415-640-1847 or amytirion@gmail.com. Once you complete registration and payment, you will receive an email with more details about your specific retreat.

If you are attending a couple's retreat, both partners must complete this registration form.

Accedi a Google per salvare i risultati raggiunti. Scopri di più

Full Name: *

Email address: *

Phone Number:

Private Retreat Name:

How much yoga experience do you have?

This answer will help in structuring the yoga portion of the program.

None

I've tried it once or twice

I do yoga periodically, but not on a regular basis

I do yoga regularly

Cancella selezione

Please share any existing injuries or physical conditions that would be beneficial for Amy to know about during the yoga sessions.

Please list any food allergies or other restrictions.

How did you learn about this retreat?

Payment

Once you submit this form, please pay using the Buy Now Paypal button.

For any questions, contact Amy TIrion at 415-640-1847.

I have carefully read, fully understand, and agree to the release below. *

I have read and understand the cancellation policy: a full refund, up to ten days prior to the start of the retreat. Within ten days before the retreat start date, full credit is given for a future retreat. I acknowledge that it is my responsibility to ascertain that there is no medical reason to prevent my participation in the retreat. I understand that it is my responsibility to inform the yoga lead if I do not wish to receive any physical adjustments to the form of my yoga positions or when I would like the adjustments to stop. I hereby waive and release any claim that I might have at any time for injury of any sort against any person or entity associated with Delight for the Soul.

I agree.

Obbligatorio

Invia

Cancella modulo

Non inviare mai le password tramite Moduli Google.

Moduli

Questi contenuti non sono creati né avallati da Google.