OCTOBER 2018 FARM-STAY YOGA RETREAT CONTACT FORM AND LIABILITY WAIVER

Name *
Name
Phone Number *
Phone Number
Emergency Contact Phone *
Emergency Contact Phone
Checkbox *
Massage
Please select a time slot for your 45 minute massage. *
Note that some appointments will take place right after a meal, during the optional hike, or before bed. Refer to the Retreat Info Attachment in the invoice to schedule according to your needs.