Yoga Retreat Registration Form

Please fill out a registration form for each participant.

I'm signing up for next week:

Saturday, September 26, 2026* Saturday, March 13, 2027

* This group is a trial session for the yoga retreat. If you book by this date, you’ll receive a 10% discount on the listed price. By participating in this group, you also consent to the taking of photos and videos and their use on our website and social media.

Personal Data

Male Female Other

First name

Last name

Date of birth

Address

Postal code

Residence

Phone number

Passport number

Stay

Shared room: €995.00 per person. I would like to share the room with (if applicable) Single room: €895.00; assigned on a first-come, first-served basis Double room for single occupancy: €1,345.00

Cancellation Policy

We recommend that you purchase travel and cancellation insurance.

You can cancel free of charge up to 56 days before arrival.

For cancellations made between 55 and 42 days prior to arrival: a 20% cancellation fee applies.

If canceled 41 days or fewer before arrival: 100% cancellation fee.

Deposit

After registering, you will receive an invoice for a 20% deposit

I agree to the 20% down payment

Health & Wellness Questions

To make your vacation as safe and enjoyable as possible, we ask that you answer the following questions honestly. All information will be treated confidentially.

Are you currently experiencing any physical symptoms, injuries, or health issues?

No Yes, namely

Have you had any serious injuries, surgeries, or chronic conditions in the past?

No Yes, namely:

Are you taking any medications we need to be aware of?

No Yes

Yoga styles

How many years have you been practicing yoga?

Less than 1 year 1–2 years 3–5 years 5+ years

On average, how often do you practice yoga?

Occasionally Once a week 2–3 times a week Daily

How would you describe your skill level?

Beginner Intermediate Advanced

Are there any poses or exercises you’d rather avoid?

No Yes

Resolution for the vacation

What is your main reason for joining this yoga retreat?

What do you hope to take home with you after this vacation?

Additional information

Is there anything else we should know?

Terms & Conditions

I declare that I have completed this form truthfully.

I understand that participation in yoga* and vacation activities is at my own risk.

I consent to the confidential processing of my personal information for this vacation.

I have made a reservation for the group on September 26 and give my permission for photos and videos to be taken and used on our website and social media.

Name

Date

Signature