InGreenPeace Retreat Intake Form & Contract 
Divine Global People & Divine Moon Yoga via InGreenPeace.com Retreats & Workshops & Camps
Which retreat/workshop/camp location are you signing up for? Dates?
If applies to you, which accommodation are you wanting?
Name *
Email *
Address
Phone number *
DATE OF BIRTH & PLACE OF BIRTH & TIME OF BIRTH:
What is your mode of transportation to arrive? 
INJURIES/CONDITIONS: 
 *
EMERGENCY CONTACT:
*
TREATMENTS/MEDICATIONS: 
When does your passport expire?
Have you traveled out of the country before? If so, where?
INDIVIDUAL GOALS:
Food allergy and/or restrictions?
Do you consent to being photographed for InGreenPeace.com & Divine Associates website/social media pages?
Clear selection

DISCLAIMER:

I understand the various risks associated with an exercise program, retreat or event and it is my desire to participate.  I have not withheld any relevant information regarding my physical condition, which may affect me during or following a session.  I agree that Ingreenpeace.com, Divine Moon Yoga and its instructors are not responsible for any injuries sustained by me during my retreat and hereby release them from any responsibility.  

The full cost of the retreat is due two weeks prior to the scheduled retreat.  

The cost of all activities are due 3 days prior to event.

No refunds for cancellations day of the workshops/events.

Our business operates on a scheduled basis. When cancelling a retreat/workshop/camp, we require all customers to provide two weeks notice to the scheduled retreat for 50% refund. Otherwise, we will charge customers 100% of the retreat cost. If customer can provide emergency circumstances there will be exceptions to this rule.

Please place your payment with us via Pay Pal, Venmo, Cash App or through our booking system on the website.

Venmo.com/ingreenpeace

Cashapp: $leahyoga

Paypal.com/leahmurray617

By entering yes, followed by your name below you are digitally signing and agreeing to these procedures: 
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms