YOGA
YOGA SCHEDULE
PRICES, PASSES, AND PROMOTIONS
WORKSHOPS & SERIES
AERIAL YOGA
SUMMER SCHEDULE SURVEY
ESTHETICS & MASSAGE
ACUPUNCTURE
NATUROPATHIC MEDICINE
STUDENT MASSAGE CLINICS
WELLNESS PRACTITIONERS
YOGA TEACHER TRAINING
SUMMER IMMER 2018 YTT
MASSAGE SCHOOL
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REGISTRATION FOR RESET RETREAT
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Name
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First
Last
Address
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City
State
Zip Code
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Email
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Cell Number
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Date of Birth
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Credit Card Number
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Exp. Date
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Code on back of card
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Billing Zip Code
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I authorize DTY to charge my card for the $249 registration fee for Reset Retreat.
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I Authorize
I understand that the Retreat includes:
* Shared accommodations in lakeside cottage (Rockwood~Moosehead Lake)
* Nourishing, re-balancing Ayurvedic meals
* Paddleboarding and/or paddleboard yoga
* Kayaking
* Yoga & Meditation (all levels, no experience necessary)
* Spectacular hike on Mount Kineo
* Carpool transportation from DTY to Retreat
I understand that there are no refunds for cancelled registrations.
I understand that due to weather activities may have to be altered or skipped for safety purposes.
I understand that this retreat includes physical movements. As is the case with any physical activity, the risk of injury, even serious or disabling, is always present and cannot be entirely eliminated. My signature acknowledges I understand that and If I experience any pain or discomfort, I will listen to my body, adjust appropriately and ask for support from the instructor/leader. If at any point I feel overexertion or fatigue, I will respect my body’s limitations. This retreat is not recommended and is not safe for certain medical conditions and I will list any medical conditions I have below. I affirm that I alone am responsible to decide whether or not an activity is appropriate for me. I hereby agree to irrevocably release and waive any claims that I have now or hereafter may have against DOWNTOWN YOGA AND ITS INSTRUCTORS. By signing my name below, I acknowledge that participation in this retreat exposes me to a possible risk of personal injury. I am fully aware of this risk and hereby release retreat leaders, DTY STUDIO, and retreat location owners from any and all liability, negligence or other claims arising from or in any way connected with my participation in this retreat.
My checking the box below and registration payment verifies that I am physically fit to participate in the retreat and a licensed medical doctor has verified my physical condition for participation in this retreat if I have health concerns. My checking the box and registration payment is binding to this liability waiver from this day forth.
Please check the appropriate box
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I agree to all the above and have no health concerns
I agree to all the above and I have injuries or health concerns that I will list in the box labeled injuries & health concerns
INJURIES OR HEALTH CONCERNS
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YOGA
YOGA SCHEDULE
PRICES, PASSES, AND PROMOTIONS
WORKSHOPS & SERIES
AERIAL YOGA
SUMMER SCHEDULE SURVEY
ESTHETICS & MASSAGE
ACUPUNCTURE
NATUROPATHIC MEDICINE
STUDENT MASSAGE CLINICS
WELLNESS PRACTITIONERS
YOGA TEACHER TRAINING
SUMMER IMMER 2018 YTT
MASSAGE SCHOOL
New Page
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