Home
About
Testimonials
Yoga Classes
Yoga Online
Yoga Events
1:1 Yoga Sessions
Yoga Training
200-Hour Yoga School
Retreats
Retreat Leaders
Reclaiming Yourself a Self-Care Yoga Retreat 4 Women
*
Indicates required field
Name
*
First
Last
Date of Birth
*
Phone Number
*
Email
*
Do you have any allergies?
*
Payment Options
*
3 Day + 2 Nights - Pay In Full $600
3 Day + 2 Night - Payment Plan of $300 today + $300 By October 12, 2020
Method of Payment
*
Cash
Check
CashApp
Venmo
Yoga Wavior Form
I understand that yoga is a breath-centered practice that includes physical movements as well as an opportunity for relaxation, neuromuscular re-education and stress relief. As with any physical activity, the risk if injury, even serious or disabling, is always present and cannot be entirely eliminated. If I experience any pain or discomfort, I will listen to my body, adjust the posture and ask for support from the instructor.
Yoga is not a substitute for medical attention, examination, diagnosis or treatment. Yoga is not recommended and is not safe under certain medical conditions. I affirm that I alone am responsible to decide whether to practice yoga. I hereby agree to irrevocably release and waive any claims that I have now or hereafter may have against Yoga With Serena.
I have read and understand the above:
First Name
*
Last Name
*
Date
*
Emergency Contact Name
*
Emergency Contact Number
*
Photo Release Form
Permission to use photograph (Video/Audio)
I grant Yoga With Serena, its representatives and employees the right to take photographs (video/audio) of me and my property and Yoga With Serena, its assigns and transferees to copyright, use and publish the same in print and/ or electronically.
I agree that Yoga With Serena may use such photographs (video/ audio) of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, training materials, advertising and Web content.
I have read and understand the above:
First Name
*
Last Name
*
Date
*
Cancellation + Refund Policy
If you find yourself unable to attend a the retreat, please alert Serena as soon as possible.
Cancellations within 7 days of October 30, 2020 will receive a full refund.
Cancellations within 48 hours of October 30, 2020 will recveive a refund minus a $200 fee.
Cancelations 24 hours of Ocober 30, 2020 will receive no refund.
I have read and understand the above:
First Name
*
Last Name
*
Date
*
Any Questions?
*
Once you click submit Serena will contact you shortly to confirm your booking. She will be happy to answer any questions.
Submit
Home
About
Testimonials
Yoga Classes
Yoga Online
Yoga Events
1:1 Yoga Sessions
Yoga Training
200-Hour Yoga School
Retreats
Retreat Leaders