Retreat t’s & c’s

Hello!

Please take your time to read through the terms and conditions HERE and fill in the form below.

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone Number

Email Address

Date of birth

Please enter in MM DD YYYY format

MM

DD

YYYY

Emergency contact number

Do you have any dietary requirements? Please specify whether it is an allery, intolerance or food preference.

How would you describe your experience level with Yoga or Pilates?

Please confirm that you have read and understood this questionnaire and the Terms and Conditions. By selecting 'I confirm and agree,' you acknowledge and accept all the terms outlined.