I’m so looking forward to sharing the Retreat Day with you! Please take a few minutes to complete this form prior to the 19th March. Name * First Name Last Name Email * Phone number * Lunch pack * Two rice paper rolls stuffed with kraut, fresh veggies and optional chicken served with a tamari peanut sate sauce (gf, df, veg option) Served with Kale, veg & lentil magic bowl combined with a lemon + evoo (white balsamic & Dijon) dressing, avocado and roasted seeds (gf, df, v) Option One - Vegetarian Option Two - Chicken Car pooling from Seaford Many of the participants are from Seaford & surrounding suburbs. Please indicate if you would like to car pool with another/others. There will be a facebook chat group set up for those that would like to do this so you can arrange it between yourselves Yes, I am interested in car pooling No, thank you Please advise me of any injuries or concerns that need to be considered for your Yoga practice (including asthma and blood pressure) Please advise me if you have any issues with coconut oil, incense, or any specific essential oils Any other comments Liability waiver * I understand that yoga involves physical movement affecting our skeletal, muscular and physiological body. I am aware that is may not be suitable or safe for someone with injury or illness. I affirm that I alone am responsible to decide whether yoga practice is safe and suitable for my body. I agree I am solely responsible for my safe yoga practice I will notify my teacher of any new or existing injury or health concerns Emergency name & contact Thank you!