Name
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First Name
Last Name
Email
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Phone number
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Gender
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Date of birth
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DD
YYYY
Please select the room you wish to book
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Are you booking with another guest or solo
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If applicable, please give name of the other guest that you wish to share a room with
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If you are a solo traveller, please select those you are happy to share a room with
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Please select your payment option
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Do you have any dietary requirements or allergies?
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Do you have any injuries or health issues?
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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?
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Any information you choose to share will be kept confidential. Our intention is to create a safe space for all our retreat guests.
What would you like to get from your retreat?
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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.
What is your intended arrival time on Friday 30th January2025?
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Please note, check in is from 4.30pm onwards.
What is your intended departure time & day?
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Check out is 9.30am on Monday 2nd February, please notify us if you intend to leave earlier.
Please give the full name of your emergency contact
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Please give a contact number for your emergency contact
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Comments
Is there anything else we need to know?
Please accept our terms & conditions
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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.
