Yoga Retreat Registration Form HomeYoga Retreat Registration FormYoga Retreat If you are interested in participating in the half-day yoga retreat, please complete this form. Once you have submitted your form you will be contacted via email to confirm your place on the course and provide further information.Name * Required First Last Contact number * RequiredEmail * Required Date of birth (DD/MM/YYY) * RequiredEmergency Contact * Required First Last Emergency Contact Number * RequiredHave you ever practised yoga before? Yes NoAre there any health related issues or injuries you feel may be relevant to mention?Please read the following and tick the box. * RequiredAll exercise programs involve a risk of injury and by choosing to participate in this yoga retreat, you voluntarily assume a certain risk of injury. By attending this retreat I affirm I am solely responsible for my health and well-being, as well as my decision to be involved with this retreat. I understand that yoga is not recommended and is not safe under certain medical conditions. I do not have any physical conditions or disability that would limit my participation or preclude an exercise program. I assume full responsibility for any and all damages which I may incur through participating. The yoga instructor shall not be held liable for any injury, loss or damage to a person sustained during or as a result of participation in this class. I agree to listen to my body and monitor myself during the retreat. I agreeΔ