Refresh: Restorative Yoga Retreat Registration

Personal Information
Name*
First Last
Email*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone*

Accommodations and Add-ons
All nine rooms in the retreat house have access to three shared hall bathrooms. Beds are twin-sized European-style platform beds with high quality mattresses. Linens, towels, meals, and all yoga sessions are included in the room cost.
Room Selection*
Prices are per person. There is 1 bed available in a shared room for 2. All other options are sold out.
- Shared Room for 2 - $475
Preferred Roommate(s):
List your preferred roommate(s) if applicable.
Food Allergies/Preferences:
Food at the retreat is vegan with dairy and eggs available on the side. Nearly everything is gluten-free, including the delicious baked goods. Please list any food allergies or sensitivities if applicable.
Massage*
Appointments for one hour massages are available throughout the weekend. You will be assigned your appointment time upon arrival.
Coupon
Total
$0.00
Payment Method and Policy
Payment is accepted by check or credit card via Paypal.
Payment Method*

Cancellation Policy
Should you be unable to attend the retreat, your cancellation request must be received in writing via email to tara@taralemeriseyoga.com by September 25, 2019 in order to receive a refund. Cancellation requests received after September 25, 2019 and before October 11, 2019 may be eligible for a credit towards a future retreat. All refunds and credits are subject to a $50 non-refundable administrative fee. There are no refunds or credits available after October 12, 2019. Paid registrations are transferable to another individual at any time and are not subject to administrative fees.
Cancellation Policy*
- Yes, I read and agree to this cancellation policy.

Liability Waiver
I am aware that some yoga and other activities scheduled for this weekend require physical exertion that may be strenuous, and participation in yoga may result in accident or injury. I understand that it is my responsibility to consult with a physician prior to and regarding my participation in the yoga classes, workshops, private sessions, or trainings offered by Tara Lemerise Yoga/Tara Lemerise and/or Patricia Kull. I assume full responsibility for any risks, injuries or damages, known or unknown, which I might incur as a result of participating in this retreat. By signing, I agree to release from all liability and to hold harmless Tara Lemerise/Tara Lemerise Yoga, Patricia Kull, and Blue Mountain Retreat Center and its owners, officers, employees and agents from any claim, including but not limited to claims for property damage, personal injury, death or loss of any kind arising out of yoga classes, workshops, private sessions, or trainings. My heirs and legal representatives also forever release Tara Lemerise/ Tara Lemerise Yoga. Patricia Kull, and Blue Mountain Retreat Center from all liability.
Liabilty Waiver*
- Yes, I read and agree to this liability waiver.

Personal Information