Italy Yoga Retreat Form (Copy)

Retreat Forms

If you have been sent to this page it is because our retreat is just around the corner! Please take a moment to fill out all of the details below. Make sure every line is filled. If it is not applicable please state ‘no’ or n/a. Thank you!

Name

First Name

Last Name

Date of Birth (DD/MM/YYYY)

Phone Number

(###)

###

####

Emergency Contact Name

What is their relationship to you?

Emergency Contact Number

Do you have any allergies?

Do you have a severe food allergy, any sensitivities or a medically diagnosed intolerance of any kind?

Are there any foods that you really dislike?

We always try to accommodate for everyones needs

Do you have any health issues or concerns that we need to know about including any medications you may be taking

Do you have any injuries? Or anything else that may affect your yoga practice

Please note down what you are hoping to get out of the retreat

How did you find out about the retreat?

is there anything else you would like us to know so that we can provide you with a wonderful experience on the retreat

Could you please confirm your arrival time into Bergam airport (BGY)

Please confirm the flight departure time from Bergamo airport (BGY)