Retreat Booking Form
Weekend Retreat in Coniston, Lake District, 22nd - 25th April 2022!

Please fill out the form below and I will be in touch soon to confirm your booking and take your deposit. You will need to pay a deposit of £200, the remaining balance will be due 8 weeks before the retreat.

Please email me to ask any questions about the retreat, if you have any, before you book your space.
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Full Name: *
Address: *
Email: *
Mobile Number: *
Emergency Contact Number: *
Preferred Contact Method: *
Required
Date of Birth: *
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Previous Yoga Experience:
Accommodation Request (reservations are first come, first served but we will do our best to accommodate your request): *
Do you have someone you would like to share a room with? If yes, please put their name below:
The food on the retreat is mainly plant based, please tick below if you have any dietary preferences:
Any food allergies?
Would you like to add a full body reflexology treatment to your stay? £45 for the hour will need to be paid along with your deposit. *
CANCELLATION: If you need to cancel your retreat space for any reason, then you must let Emily know either by email or letter as soon as possible. Whilst I will try to be sympathetic, spaces are limited on this retreat. Deposits are non-refundable (unless the retreat is cancelled by the organiser or venue). Cancellations made up to four weeks before departure, 50% of payment will be refunded (excluding the deposit). Thereafter, refunds will only be considered under exceptional circumstances at the discretion of the organiser. The cost of any plane or train ticket is your responsibility and you must take out your own travel insurance. Please sign your initials below to confirm you understand this. *
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