ALLIYANA MOVEMENT IMMERSION - Nov 2024
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Name: *
WhatsApp Contact Number (we will make a private group for ease of communication closer to date). If you do not have What'sApp, please let us know which App you use most conveniently.  *
How did you hear about the 7D/7N Alliyana Movement Immersion? *
Can you share a brief summary of your movement background?  *
Why would you like to join the Alliyana Movement Immersion?  *
This Immersion takes place Saturday 2 Nov - Saturday 9 November 2024 in Mallorca (7 days / 8 nights). Please select below the Immersion Package below that you prefer. Prices are listed as Normal Rate and are inclusive of accommodation, meals (3x daily) and tuition. Be sure to discount off the below prices: 350 € by 2 Feb, 250 € by 2 May booking. Please note that options with a star are only available once we have covered filled the Main House with reservations. *
This training includes 3 vegetarian / (option of vegan) meals a day, teas & snacks, as well as an arrival dinner and departure breakfast. Please select below any allergies, intolerances, special dietary requirements. *
Required
Do you have any physical injuries, limitations, challenges that may prevent you from participating fully? If so, please describe below.
Will you be traveling by airplane for this immersion? If so, we will get in touch ahead of time to possibly arrange a group transport to the venue (shared cost by those using the transport).
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Please arrive to the venue for a 17h orientation on Saturday 2 November, and plan to depart the venue at 10h on Saturday 9 November. *
Alliyana Movement includes physical activity that involves balancing, agility, coordination and more. Daniel will take every precaution and care to develop your skills to participate in a safe manner. As is the case with any physical activity, the risk of injury, even serious or disabling, is always present and cannot be eliminated. I herby agree to irrevocably release and waive any claims that I have now or may have against Daniel David Rojas Gomez. *
Please write your full name once more as an indication of your digital signature for this form. Thank you! *
A copy of your responses will be emailed to the address you provided.
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