Natural Harmony
Snowdonia Retreat Booking Form
Friday 6th April, Saturday 7th April to Sunday 8th April 2012
Title
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First Name
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Last Name
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Sex Male ------- Female -------
Occupation
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Address
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E mail---------------------------------------------------------
Telephone
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Medical Information:
Please fully inform
us of any medical problems you may have at present or recently, please be very
specific.
Are you taking any
medication at present, if so please elaborate.
Are you pregnant
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Have you practiced
Yoga before -----------------------------------
If so, what would you
say your level was -------------------------
Please list any
dietary requirements and allergies.
Are there any
particular parts of your body you would like to work on during our Yoga work.
Are you happy to be
touched or adjusted during class-------------------
Booking Terms:
I do not believe in
masses of small print and operate on a trust basis, however the following
booking terms will apply.
A deposit is required
to hold your place on this retreat.
The deposit is non
refundable once paid.
If you cancel more
than a month from the date of the retreat, no further payment is necessary,
however cancellation after this the full amount is payable.
If you have a medical
condition that you believe may be sensitive to practice, you must inform us
with this booking form or if it occurs after, you must also notify us as soon
as you can.
By signing this
booking form you are agreeing that you are fit and healthy and able to
undertake fully in this retreat.
Please confirm that
you agree to all of the above by signing below and returning this agreement to
me on e mail (scanned) or via post.
Via post to Natural
Harmony Retreats, 3 Beresford Close, Prenton, Wirral,CH43 1YR.
Signed
------------------------------------ Date ----------------------------------
DETAILS
Venue: Snowdonia
Mountain Lodge, Nant Ffrancon, Bethesda, Bangor,
Gwynedd LL57 3LX.
Teacher: Jane Pollard, certified
yoga teacher Hatha and Kundalini.
Fee: (includes the deposit and
balance) £200
Deposit: £50, please note bookings
are on a first come first served basis.
Balance: £150.00 payable on or
before the 30th March 2012
Included: All classes and
workshops, evening meal Friday, breakfast, lunch and evening meal Saturday and
Breakfast and lunch on the Sunday and accommodation in a twin room or double . Having a room to
yourself is possible with a small supplement, please let me know as soon as
possible.
Additional costs: Anything you
purchase independently of the retreat and purchases from the retreat shop.
Packing list
Sleepwear
Toiletries
Yoga clothes (layers)
Socks
A warm coat
Yoga mat
Blanket
Yoga props if you need them
Water
Outdoor clothing (it is October in Snowdonia :))
Outdoor shoes
Cash
Medication if needed
Thank you very much and I really look forward to seeing you at this
retreat
Sat nam Jane
