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Pyramid Retreat: April 22-29, 2023
Please submit your 50% deposit, on the SAME day you complete this registration form.
Thanks!
Karina & Claire
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Email
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Your email
Name
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Your answer
Today's Date
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Your Birth Date
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Phone number
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Your answer
Address
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Your answer
Which occupancy are you requesting? Space is limited, first come first serve.
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Double (2 bedrooms, 2 baths)
Single (2 beds, 1 bath)
I agree to pay my balance in full by March 1, 2023
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Yes, I will pay balance with credit or debit card by March 1, 2023
Medical Questionnaire: Do you have any medical condition, health limitation, injury or recent surgery that we should be aware of?
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Your answer
Emergency Contact (Name, Email & Phone)
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Your answer
Will you be using the group transportation?
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Yes, I will be be using the group transportation
No, I will have or rent my own vehicle
Contract & Liability Release
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I understand that this retreat requires travel and includes group exercise
I have read the cancellation policies & accept the terms
I agree that purchasing medical and/or travel insurance are my personal responsibility
I understand that this retreat is self-catering and I am responsible for my own meals
I understand that registration is first come, first serve and that I may not get my preferred option
I release the facilitators/property owners from liability in the case of injury during exercise
I understand that this is a "healing retreat" and will not come to group activities intoxicated
I understand that diversity inclusion and anti-discrimination are the values of these facilitators.
I will provide the facilitators with my travel itinerary when prompted to
Required
Will you be sharing a pyramid with a specific person? If yes, what is that person's NAME and EMAIL address?
Your answer
Do you have any questions or want to tell us anything else?
Your answer
A copy of your responses will be emailed to the address you provided.
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