Sacred Seasons Retreat Registration Form

Retreat Dates: Friday, December 15, 5 pm – Tuesday, December 19, 12 noon

First Name

Last Name

Age

Mobile Phone Number

EMERGENCY CONTACT

Name

Mobile Phone Number

Relationship

Briefly describe your past experience, study, and training, if any, in yoga, meditation, or both.

OUR PRACTICES ON THE SACRED SEASONS RETREAT WILL INVOLVE SEATED AND WALKING MEDITATION, BREATHING EXERCISES, AND MINDFUL MOVEMENT / YOGA ASANA (POSTURES ), FOCUSED ON BALANCING EFFORT WITH EASE. THE RETREAT ENVIRONMENT AT MAR DE JADE REQUIRES BASIC MOBILITY, INCLUDING SOME GENTLE UPHILL CLIMBING AND STAIRS.

WE RECOMMEND CHECKING WITH YOUR MEDICAL PROVIDER AND DISCUSSING WITH MAR DE JADE AND WITH US ANY CONCERNS ABOUT YOUR ABILITY TO PARTICIPATE BEFORE YOU REGISTER.

IF YOU HAVE ANY DIETARY QUESTIONS OR CONCERNS , PLEASE DIRECT THEM TO MAR DE JADE AT THE TIME OF BOOKING YOUR ACCOMMODATION.

Do you have any medical, mobility concerns or limitations that may affect your participation in this retreat?

Additional notes, information, requests

BY COMPLETING THE REGISTRATION PROCESS, YOU ATTEST THAT YOUR HEALTH AND MEDICAL CONDITION ALLOW YOU TO ATTEND AND PARTICIPATE IN OUR SCHEDULED ACTIVITIES AND THAT YOU ABSOLVE YOGA SPACE VALLARTA, DANIEL GRIPPO, AND REBECCA BRUCE FROM ANY LIABILITY.
Yes, I am in good medical condition to attend the Meditation and Yoga Well-Being Retreat.

Sacred Seasons Retreat Registration Form

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