HOME
Join our Mailing List
CLASSES
CLASSES
WORKSHOPS
RETREATS
TEACHER TRAINING
Yin Yoga Teacher Training
Hormone Yoga Therapy Training
ABOUT US
About us
Charity
Testimonials
About Yoga
>
About Yoga
The 5 points of Yoga
The 4 Paths of Yoga
Class Chant Sheet
CONTACT
GALLERY
BLOG
Class locations
Menu
HOME
Join our Mailing List
CLASSES
CLASSES
WORKSHOPS
RETREATS
TEACHER TRAINING
Yin Yoga Teacher Training
Hormone Yoga Therapy Training
ABOUT US
About us
Charity
Testimonials
About Yoga
>
About Yoga
The 5 points of Yoga
The 4 Paths of Yoga
Class Chant Sheet
CONTACT
GALLERY
BLOG
Class locations
0778 926 3366
New Year Yoga Retreat, Braziers Park, Oxfordshire, UK - 29th Dec 18 - 1st Jan 19
Booking Form
*
Indicates required field
Full Name
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
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, medication or special needs
*
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. Please contact us for triple sharing requests)
*
Shared Room - £429
Single Room - £499
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)
*
Bank Transfer - Account Number 44177860, Sort 30-62-96, Miss C Conway, LLoyds Bank
Cheque - payable to C Conway, postal address - 12 Dod Lane, Glastonbury, BA6 8BZ
Cash (in person only)
If you would like to share a room with a friend, what is their name?
*
How did you hear about the Retreat?
*
Anything else you would like to tell us about?
*
All information provided will remain confidential and used only for Yoga Retreat purposes.Places are not confirmed until the retreat deposit has been received. Full payment is required 4 weeks before the retreat start date. No refunds, credits or transfers will be given 4 weeks before, during or after the retreat has started. It may be possible to pay in installments, please contact us. We really look forward to sharing the weekend with you!
*
I understand my own body’s challenges and take full responsibility for my own practice
*
Agree
If you are unsure about practicing yoga due to a medical complaint, please consult your medical practitioner or doctor
Form Completed by (Name)
*
First
Last
Submit
Web Toolbar by Wibiya
HOME
Join our Mailing List
CLASSES
CLASSES
WORKSHOPS
RETREATS
TEACHER TRAINING
Yin Yoga Teacher Training
Hormone Yoga Therapy Training
ABOUT US
About us
Charity
Testimonials
About Yoga
>
About Yoga
The 5 points of Yoga
The 4 Paths of Yoga
Class Chant Sheet
CONTACT
GALLERY
BLOG
Class locations