Retreats at Viveka Gardens 2023
Could you complete this booking, health and consent form, please? Thank you
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Email *
First name and surname *
Full Postcode *
Mobile *
 Emergency Contact *
Please give name, your relationship to them, phone and email. By adding their info here you confirm you have their consent.
Retreat *
*for bespoke indicate the dates and party leader
previous yoga experience (briefly) *
what do you hope to gain from the retreat? *
Please let us know if you are affected by any of these. Please be in touch if you would like to talk it over. *
Required
Please give details of anything else we should know about *
Please tell us about any food allergies or intolerances. If none, write 'none' *
How did you hear about Viveka Gardens and this retreat?
Confirm you have or will shortly make the deposit or full payment. Internet banking FJ Law 090132 48396382 and put your name as reference. Booking only complete on payment of deposit (weekend retreats) or full payment (day and part-day retreats) *
Required
I confirm I have read and understood the Terms & Conditions, http://vivekagardens.com/terms-conditions/, and understand that they may change in line with public health policy. 'Sign' by typing your name and date
I agree to take full responsibility for myself and for my personal property. The decision to participate in the activities is my own responsibility. In addition, I agree that I will not hold Viveka Gardens responsible for any injuries or damages that might result from my participation in any of the activities. 'Sign' by typing your name and date *
Thanks for that! I expect we've been in touch already but I will send joining information via email in the week before the retreat. I'm looking forward to welcoming you to Viveka Gardens. Take care and keep well, Fiona
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