UNBOUND ~ A Practitioner's Retreat, Yoga & Ayurveda in the Himalayas
𝕎𝕚𝕥𝕙 𝕄𝕚𝕤𝕔𝕙𝕒 𝕍𝕒𝕣𝕞𝕦𝕫𝕒

Thank you so much for for saying yes to joining UNBOUND and coming together for a journey of practice, depth, discovery and transformation in the mystical land of Northern India.

Please answer the following questions to book your place.

We look forward to seeing you there.
Sign in to Google to save your progress. Learn more
Email *
First Name *
Clear selection
Last Name *
DOB: *
Gender
E-mail Address *
Mobile Number (including country code) *
What is your yoga experience? *
Please share a little explaining if you are a beginner or more experienced practitioner.
Do you have experience with meditation or any other kind of spirituality? *
Do you have any injuries or physical/emotional conditions? *
Please share anything that it will be helpful for us to be aware of so that we are able to support your fully. * Do you have any past major injuries or chronic conditions? * Do you have high or low blood pressure? * Do you have any known heart condition? * Are you pregnant or taking any form of prescription medication? * Are there any other situations or circumstances we need to be aware of? * Are you recovering from any conditions / and or dis-eases including addictions, anorexia, depression or other emotional conditions? Please note that this information will be treated with the highest level of confidentiality and enables us to support your health, safety & wellbeing.
What other physical activities, if any, do you pursue? How would you describe your level of fitness? *
Tell us a little bit about you *
Just a few lines including profession and lifestyle.
What do you wish to get out of this retreat? *
It could be what you wish to get in terms of health and your body, or how you would like this retreat to impact your daily life, stress levels, emotional self. Perhaps you have postures or practices that you wish to explore or learn. Include whatever feels appropriate to you here.
Do you have any special dietary requirements? *
The food on the retreat will be vegetarian, but please let us know if you have any further requirements or allergies.
I am interested in the following optional activities
Where will you be travelling from and which airport do you expect to fly into? (We can help coordinate taxi shares if possible nearer the time and not to worry if you aren't sure of flight route yet.)
*
A few bits about accommodation... *
Most of the rooms are twin occupancy, however doubles are available if you wish to share a bed. If you are coming with a friend/s please state the name of the person you would like to share with. If you are coming alone, we will pair you with someone. We have some options for single occupancy. Please state your preference here. (Refer to the below section to confirm the price).
A bit about payment... *
Payment is to be made in advance via bank transfer to:
MICHAELLA VARMUZA
Barclays Bank Acc 20312894
Sort Code20-85-73.
Ref: UNBOUNDMV (replace MV with you initials)

Please pay your non refundable deposit (£200) or the full amount to confirm your place.

(Include the full agreed amount you will pay based on your room type AND the amount you are paying to confirm you place).

ROOM OPTIONS (PRICE PER PERSON)

SINGLE OCCUPANCY EARLYBIRD £1445  |  SINGLE OCCUPANCY STANDARD £1595

TWIN SHARED EARLYBIRD £1245  |  TWIN SHARED STANDARD £1395

EARLYBIRD VALID UNTIL 31 JULY, 2023. 

A NON-REFUNDABLE DEPOSIT OF £200 CONFIRMS YOUR BOOKING. THE REMAINING BALANCE IS DUE 2 MONTHS PRIOR, BEFORE 15 AUGUST 2023.

How did you find out about this retreat? *
Please provide details of your emergency contact *
Name, Phone Number and Relationship to you.
I confirm I am responsible for my own travel insurance and that it will be valid for this trip.
*
I confirm that it is my responsibility to check any medical test or certificate requirements for travel.

Please note, India currently has no requirements for COVID certificates or tests to enter, however pls check your own country requirements and double check again nearer the time.
*
Required
I have detailed above any known medical or physical concerns for myself. *
�I agree to take full responsibility for not exceeding my limits in the practice of yoga and for any injury or discomfort I might experience. I have informed Mischa Varmuza of any conditions or injuries that are relevant and will keep her updated for the duration of the retreat. I understand that I am making a commitment and will let the host know if I can't make it. However I will not be refunded for the retreat if I am unable to attend or late to arrive. I am participating in this retreat as a matter of personal choice. I am the person who is the most knowledgeable about my body and what it can do; and understand that all of the activities are optional. If I am in any doubt about whether an activity is appropriate for me, I will discuss this with my teacher. I will not force my body beyond its capacity. This is a signed declaration that I am able, to the best of my knowledge, to participate in this retreat. *
Required
Thank you so much for taking the time to fill out this form... (all information shared will remain confidential) We look forward to this beautiful retreat with you. *
If you have any burning questions, do send a postcard. We will send out an 'everything you need to know' pack in the run up to the retreat.
Required
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Mischa Varmuza. Report Abuse