Registration Forms

Retreat Liability Waiver Form

First name

Last name

Date of Birth

Address

Phone

Today's Date

I hereby acknowledge and agree to the terms and conditions outlined in this liability waiver as a participant in the yoga retreat organized by Daria Grigoreva and Lizbeth Vazquez. This retreat will involve various activities, including yoga, meditation, energy healing, food, activities, hiking, and staying at a house. By participating in this retreat, I understand and accept the potential risks involved.

Physical and Mental Health: I confirm that I am physically and mentally capable of participating in the retreat activities. I understand that it is my responsibility to consult with a medical professional prior to the retreat if I have any concerns or pre-existing medical conditions that may affect my ability to participate safely.

Are you currently taking any medications? If yes, please list them:

Do you have any existing medical conditions or physical limitations? If yes, please provide details:

Are you experiencing any injuries or physical discomfort that may affect your ability to participate in physical activities? If yes, please provide details:

Release of Liability: I hereby release, waive, and discharge Daria Grigoreva, Lizbeth Vazquez, and any associated staff, volunteers, or agents from any and all liability, claims, demands, actions, or causes of action arising out of or related to any loss, damage, or injury, including death, that may occur during or as a result of my participation in the retreat activities. This release of liability applies to any form of negligence, whether caused by the hosts, other participants, or third parties.

Personal Responsibility: I understand that I am solely responsible for my personal belongings, including any valuables, during the retreat. I agree to take necessary precautions to safeguard my belongings and acknowledge that the hosts and organizers are not liable for any loss, theft, or damage to personal property.

Indemnification: I agree to indemnify and hold harmless Daria Grigoreva, Lizbeth Vazquez, and their respective heirs, representatives, and assigns from any and all claims, demands, actions, or causes of action arising out of my participation in the retreat activities. I will assume full responsibility for any costs or expenses incurred as a result of any injury, damage, or loss caused by my own actions or negligence during the retreat.

Initials

By signing this liability waiver, I affirm that I have read and fully understand its contents. I acknowledge that I am voluntarily participating in the retreat and assume all risks associated with it. I agree that this waiver shall be binding upon me, my heirs, representatives, and assigns.

First name

Last name

Today's Date

Your Signature

First Name & Last Name (if participant is under 18 years old):

Date of Birth

Your Signature

Parent/Guardian's Full Name:

Your Signature

I want to subscribe to the newsletter.

Thanks for submitting!

Resgistration Form

First name

Last name

How long have you been practicing yoga? Please briefly describe your experience.

Do you have any dietary restrictions or food allergies? If yes, please list them:

Is there any other information you would like to share about your health or well-being that may be relevant for your participation in the retreat?

What are some of your expectations and intentions for this retreat?

Would you like to book a massage session? (additional cost)

Yes

What form of massage do you pefer and for how long? (1hr to 1:30 minutes available slost)

Please note that this questionnaire is designed to ensure your safety and well-being during the yoga retreat. All information provided will be kept confidential and used solely for the purpose of understanding your needs and preferences to enhance your retreat experience.

Please return the completed questionnaire at your earliest convenience. If you have any concerns or questions, feel free to contact us. We look forward to welcoming you to our women's retreat and providing you with a transformative and rejuvenating experience.

Initials

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Your Signature

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Retreat Liability Waiver Form

Resgistration Form

Contact Details