Registration Form

Name:


Address:

 
Date of Birth:


​Phone #:

 
Cell Phone #:

 
Email:

 
Emergency Contact (Name & Number):



​Retreat Location:


 
Name of Roommate:


​
 
1.  Please describe your yoga experience (No experience is ok :)
 
 



2.  Do you have any injuries, old or new?  Please explain.  Recent injuries will require a doctor’s note of approval.

 
 



3. What would you like to get out of this retreat? 


 
 

4. Are there any specific areas of your body that you would like to work on improving strength or flexibility?


 


5. Are there any specific asanas (yoga postures) that you would like to go over?


 
 

6. Which room would you like to reserve for your stay?  Please indicate if this will be a single, double, triple occupancy?   Room #?



 

7. Do you have any allergies? Special Diet? Vegan? Gluten free? Not all locations can accommodate for every diet.  Please lets me know about your dietary  requirements in advance to see if the location you have chosen fits your needs.

 

 
8. Will you be celebrating any special occasions during your stay?




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9. How did you hear about Namaste Yoga Retreats?



A Deposit is required to confirm reservation.
$100pp for 1+ night retreat
$600pp for 3+ night retreat

Liability Waiver
We do our best to keep everyone safe, but accidents do happen.  Please read, sign and return your liability waiver at least 30 days prior to the start of the retreat. 

Travel Insurance
Travel insurance is now required for all retreats. Travel insurance is NOT included in your retreat package. It can be purchased for a single trip or on an annual basis. Do not purchase travel insurance from an airline. It is usually only basic coverage and does not cover much more than the cost of your flight. Please look for a policy that covers what you need. I can not recommend travel insurance because I am not an agent, but I will tell you that coverage is more affordable and much better than it was prior to COVID. It is fairly inexpensive and will give you peace of mind so you can relax and enjoy your vacation.

Cancellation Policy
If you need to cancel, please put in a claim through your insurance. Payments for retreats are non refundable. This is necessary in order to keep our groups small and our retreats affordable. Our contracts require accurate numbers and cancellations result in expensive penalties and fees. This is now an industry standard in our post COVID travel world. Make sure the policy that you choose covers trip cancellation. Look at the reason for cancellation. Some cover injury or illness and other policies offer a cancel for any reason. Pricing will vary depending on the level of coverage you need.  

Shared Rooms
I understand that if my roommate cancels I have the option of cancelling according to the terms listed above or paying the single rate for the room I have booked.  Please sign and date that you have read and understand the cancellation policy.



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Signature                                                                                               Date
 


Space is limited.  To reserve your spot today, please send your registration form and check to:


Tricia Glynn
402 Moraine Street
Marshfield, MA 02050
USA

Please make checks payable to "Namaste Yoga Retreat"
 
Venmo Accepted - @Patricia-Glynn-1
​In the photo I am in a blue dress on the beach

Please contact me if you have any questions. 

 

Tricia Glynn

[email protected]

617-947-2983
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