Yoga with Jane- Rejuvenation Retreat Booking Form 
Saturday 20th April, 9.45am-4.30pm
Coln Valley Village Hall, Coln Rogers, GL54 3LA

Please see further details about the retreat here before booking.

We will be in touch with you via email soon after you complete this form, to provide you with full details for the day and our bank details for making payment within 14 days. Bookings are only confirmed once payment has been received. 

Please be aware of our cancellation policy: Full refund if you cancel before 20th February 2024. 50% refund if between 21st Feb to 20th March 2024. No refunds if after 20th March 2024

Please note- as with all physical activity there is the risk of injury. By signing up to this event you are taking full responsibility to practice yoga and hike and for any risks involved. It is advisable to speak to a doctor before starting a new exercise programme if you have any concerns. Yoga shouldn't hurt- so please do listen to your body on the day :)
Sign in to Google to save your progress. Learn more
Email *
Full Name *
Telephone *
Are you happy for me to store your contact details? *
Required
Have you done yoga before?   *
Do you have any medical conditions and how do these effect you? (Please note any medical information will remain confidential) *
Is there anything else that may be of interest to me? (eg sleep problems, injuries, mental or physical health conditions. Please note- this will remain confidential) *
Do you have any dietary requirements? *
Do you have any allergies? *
Please provide an emergency contact (name and number) for the day *
How did you hear about this event? *
Any other comments and/or questions
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms