BOOKINGFORM | Echo Yoga & Sound

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ECHO YOGA & SOUND

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BOOKING FORM

Please complete the form below and select the submit button at the bottom. Any issues please email Josephine: Josephine@echoyogaandsound.com

Greek Retreat Booking Form

First name

Last name

Phone

Address

Emergency Contact Details.

I agree that the information shared is correct

Your Signature

GP Name & Address

Please Check if you have:

Rheumatic Fever

High Blood Pressure

Recent Operation

Low Blood Pressure

Seizures

Fainting Dizzy spells

Heart Attack

Lung Disease

High Cholesterol

Shortness Of Breath

Chest Pains

Palpitations

Cramping

Pain

Heart Murmur, other

Fatigue

Injury

Non of the above

If Any of the above is present in family history, please inform us here.

I agree that the information shared is correct

Your Signature

I agree to the above statement.

Your Signature

I agree to the above statement.

Your Signature

Have you ever done yoga before?

Have you ever done a Soundbath before?

What do you hope to gain from the retreat?

Do you have any allergies(this is important)

Are you vegan?

Please confirm that you have read the brochure, and you will follow the guidelines of the zeo tolerance for drugs or alcholo while on retreat. You will be asked to leave the retreat and resort if this is broken during your stay with us.

I confirm that I have filled in the information above accurately, and disclosed everything to the organisers. I confirm I have taken out Holiday Insurance and understand the T&C's fully.

Your Signature

Thanks for submitting!