Booking form - Eden Rise, Totnes, Devon

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Yoga Retreat, Eden Rise, Totnes, Devon
Booking Form

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Full Name *

Retreat Date *

Fri 7th - Sun 9th June 2019

Email *

Mobile Phone Number *

Sex *

Male Female

Emergency Contact *

Name/Relationship of Emergency Contact *

Are you driving & willing to car share? *

Yes No

Yoga Experience *

Complete Beginner Have practiced a little yoga Practice regularly Intermediate Yoga Teacher

What style of Yoga do you practice (if known) *

Hatha Yoga Sivananda Ashtanga Iyengar Kundalini Other

Do you have a Meditation practice? *

Yes, regularly Yes, occasionally No

Do you need to borrow a yoga mat? *

Yes please No, I have my own mat

Please let us know of any medical problems or medication *

Please include any old injuries, recent surgery, if you have heart problems, high or low blood pressure. Are you taking medication?

Are you pregnant? *

No Yes

Do you have any food intolerance or foods that you can not eat? *

Meals on our Yoga Retreat are all vegetarian

Accommodation (Prices are per person. All accommodation is shared. Please contact us for single occupancy, triple requests) *

Dorm - £220 Twin - £240 Single Room - £260

Payment Amount *

I would like to pay in full I would like to pay £100 deposit I would like to pay another amount (please use the comments box below to give more info)

Payment Options (please contact us if you need to pay in installments). Please note if any international payments incur a bank charge this will be added to the cost of the retreat. *

Bank Transfer -Bank Transfer - Miss C Conway, A/C 44177860 sort 30-62-96 (LLoyds Bank). Please put your name as a reference

If you would like to share a room with a friend, what is their name? *

How did you hear about the Retreat? *

Additional Information *

All information provided will remain confidential and used only for Yoga Prema Retreat purposes. *

I understand my own body’s challenges and take full responsibility for my own practice. A £100 deposit secures your place. Any remaining balance must be paid 4 weeks before the retreat start date. Deposits are strictly non-refundable at any time or under any circumstances. If you cancel your place 4 weeks before the retreat start date and have paid in full, a refund will be issued, less your deposit. Within 4 weeks of the retreat start date, refunds will not be considered or issued. There are no exceptions and the refund policy is firm. Any cancellations must be made in writing. If you need to withdraw from the retreat due to unforeseen circumstances, refunds or credit notes will not be issued. You may wish to look into cancellation insurance if you feel there might be a likelihood of having to cancel the retreat. If in the unlikely event that Yoga Prema has to cancel a retreat due to adverse weather or unexpected circumstances, we will refund all monies paid in full. Yoga Prema will not be liable for any other costs that have incurred, therefore advise that you take out insurance for cover. If you decide to leave the retreat for personal reasons or you find that the course does not meet with your expectations, it will be deemed to be your personal decision and the same cancellation policy will apply. International transactions that incur a charge to Yoga Prema will be added to the retreat cost. *

Agree

If you are unsure about practicing yoga due to a medical complaint, please consult your medical practitioner or doctor

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Yoga Retreat, Eden Rise, Totnes, DevonBooking Form

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Yoga Retreat, Eden Rise, Totnes, Devon
Booking Form