Name
*
First Name
Last Name
Email
*
Phone number
*
Gender
*
Date of birth
MM
DD
YYYY
Please select your preferred retreat dates
*
Please note dut tyour booking for your chosen retreat dates is only confirmed on receipt of your booking form and your payment.
Please select the room you wish to book
*
Please select your payment option
*
Please give the name of the other guest that you are booking with
Applicable for those booking a double room (unless you are opting for single occupancy)
Please select those you are happy to share a room with
*
Applicable for solo travellers booking into a twin shared room
Do you have any dietary requirements or allergies?
*
Do you have any injuries or health issues?
*
Please give us full details of any injuries, health issues (past or present) and any general aches and pains so that we can cater your retreat accordingly.
Do you have any mental health struggles or trauma history that you wish to share with us?
*
What would you like to get from your retreat?
*
Please tell us a little more about yourself and what you would like to get from your retreat with us so that we can ensure you get exactly what you need!
Please give the full name of your emergency contact
*
Please give the contact number of your emergency contact
*
Comments
Is there anything else we need to know?
Please accept our terms & conditions
*
Brave Spirit Yoga Retreats Ltd | Yoga | Reiki Healing | Thai Massage
AGREEMENT OF RELEASE AND WAIVER OF LIABILITY
I understand that Yoga/ Thai Massage includes physical movements. As is the case with any physical activity, the risk of 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, discontinue the activity, and ask for support from the instructor. I assume full responsibility for any and all risks, injuries or damages, known or unknown, which may incur through participation.
Yoga/ Thai Massage is not recommended and is not safe under certain medical conditions. By electronically signing, I affirm that a doctor has verified my good health and physical condition to participate in such a fitness program. In addition, I will make the instructor/therapist aware of any medical conditions or physical limitations before the class/treatment.
Yoga/ Reiki Healing/ Thai massage are not a substitute for medical attention, examination, diagnosis or treatment. If I am pregnant, become pregnant or I am postnatal or post-surgical, my electronic signature verifies that I have my doctor's approval to participate. I also affirm that I alone am responsible to decide whether to practice yoga/ receive Reiki Healing treatment/ receive Thai Massage and participation is at my own risk.
In further consideration of being permitted to participate in the Yoga classes, therapies, workshops and retreats I knowingly, voluntarily and expressly waive any claim I may have against Brave Spirit Yoga Retreats Ltd and The Yoga Family Ltd, its instructors/therapists and employees for any loss to personal property, injuries or damages that I may sustain as a result of participating in classes, therapies, workshops and retreats held by Brave Spirit Yoga Retreats Ltd and The Yoga Family Ltd.
I understand that I may receive physical assists or adjustments to enhance or correct my body posture during yoga classes and retreats by either the teacher or an assistant in class. I will take accountability for alerting the teacher and assistant of any injury or impairment in advance before class begins or if I do not want to receive any physical assists.
At any time during a retreat/class/ Reiki Healing Treatment/ Thai Massage I can request to stop the service, though this will not entitle me to a refund. I understand that all deposits/installments paid for retreats are non-refundable and non-transferable. I, my heirs, or legal representative of such forever release, waive, discharge and covenant not to sue Brave Spirit Yoga Retreats Ltd and/or The Yoga Family Ltd, nor its instructors/therapists and employees for any injury or death caused by their negligence or other acts.
I further understand that at times, Brave Spirit Yoga Retreats Ltd and The Yoga Family Ltd, may produce still photographs and/or video recordings for marketing purpose. I hereby authorize Brave Spirit Yoga Retreats Ltd and The Yoga Family Ltd or its assigns to use and reproduce any photographs, personal narrative, interviews or audio and video recording of my participation for any and all purposes, without compensation.
As a parent/ guardian I hereby agree to the following, my child has permission to attend a yoga class/retreat at Brave Spirit Yoga Retreats Ltd and The Yoga Family Ltd. My child is participating in classes or services during which she/he will receive information and instruction about yoga and health. I recognize that yoga requires physical exertion, which may be strenuous and may cause physical injury, and I am fully aware of the risks and hazards involved. I understand that it is my responsibility to consult with a physician prior to and regarding my child’s participation in any physical fitness program, including yoga. I represent and warrant that my child has no medical condition that would prevent her/his participation in physical fitness activities. In consideration of being permitted to participate in the yoga classes/retreats, I agree to assume full responsibility for any risks, injuries or damages, known and unknown, which my child might incur as a result of participating yoga classes/retreats. In further consideration of being permitted to participate in the yoga classes/retreats, I knowingly, voluntarily, and expressly waive any claim I may have against the instructor, the owner, or the leaseholder of the building for injuries or damages that my child may sustain as a result of participating in classes/workshops/retreats held by Brave Spirit Yoga Retreats Ltd and The Yoga Family Ltd.
I voluntarily agree to the terms and conditions stated above. I have read and fully understand and agree to the above terms of this Release and Waiver of Liability Agreement. I am electronically signing this agreement voluntarily. If participant is under 18, as legal guardian of this participant, I consent to the above terms and conditions and I have read and fully understand and agree to the above terms of this Release and Waiver of Liability Agreement on their behalf.
RETREAT CODE OF CONDUCT
By booking this retreat you are agreeing to our Retreat Code of Conduct (https://www.bravespirityogaretreats.com/retreat-code-of-conduct)
