RETREAT INFO

Reclaiming Yourself a Self-Care Yoga Retreat 4 Women

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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.

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