Retreats If you are human, leave this field blank. In order to book a place in any of my retreats or yoga classes I will need all the info below. Name: * First Last Name * Last Email: * Both Address: Phone: Retreat Emergency contact (name and phone): Relationship to you: Specific food allergies: Medical conditions that may need considerations: Do you have any specific person/s that you would prefer to share accommodations with? Yoga Experience: None Beginner Intermediate Advance Frequency Never Daily Weekly Other Photos are often taken on retreats and at special events. These are used for promotional purposes and may appear on newsletters and our website. Do we have your permission to use any photos that you may appear in? Yes No I acknowledge that I have read all the information and I take full responsibility for my health. I am fit to take part in these classes and will work within my own capabilities.