Yoga Weekend & Holiday Booking Form

Name(required)

Email(required)

Address(required)

Emergency contact/telephone(required)

Age & Occupation(required)

Yoga experience and style(required)

Which days/dates are you booking for? (Please see T&Cs for deposit requirements.)(required)

How did you hear about this holiday?(required)

Do you need help with accommodation?

The food is high quality, organic & vegetarian. Do you have any special dietary requrements?(required)

Do you have any of the following: Hypertension; Heart Disease; Cancer or Benign Tumour; Epilepsy; Diabetes; Meniere’s Disease; Detached Retina; AIDS; MS; ME; recent post-operative conditions; Depression?(required)

Are you pregnant? Are you currently receiving any medical treatment or taking medication?(required)

Do you have any muscle or joint problems?(required)

Please advise if you have any condition not mentioned above.(required)

Please check with your medical practitioner before joining the classes if you have any medical conditions. Please sign below to show that you have read and understood these questions.(required)

10% Early Bird Discount for full payment 6 weeks prior to the event?

Yoga Weekend & Holiday Booking Form

@HannahLovegrove

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