Guest Registration | Sunny Brow Retreats

Guest Information & Consent Form

Thank you for taking the time to fill in this information and consent form so we can make your stay at Sunny Brow Farm as great as possible for you.

Due to the nature of working with mind and body, using yoga and massage on our retreats, it is essential for us to know any key information about your physical and mental well being.

All information is strictly private and confidential.

First Name

Email Address

Phone

Last Name

Date of Birth

Emergncy Contact & Phone number

Date of your booked retreat:

How would you describe your yoga experience?

How would you describe your meditation expereince

Are you happy for incense and scented candles to be used in the yoga and massage spaces?

Yes

Maybe

How would you best describe your general level of health

Are you pregnant or breastfeeding? If yes please give details:

I declare that all the information given above is correct to the best of my knowledge. I take full responsibility for any omissions I may have made. I understand that I am responsible for my own health and well-being during the yoga and meditation classes; and that I do not ask for more of my body than it is able to give. As far as I am aware I am able to undertake holistic therapies without adverse affects. I understand that the retreat includes holistic modalities, and will include some or all of the following: plant essences, crystals, massage, essential oils, music and movement, yoga, meditation, inner dance, cacao, ritual work, and sharing spaces. I understand I am under no pressure to take part in any of the activities, and that I remain responsible for my own well-being throughout. I understand that the activities of the retreat do not replace any professional medical treatment or advise, and that it is strongly recommended to seek medical opinion should it feel necessary.

Your Signature

Thank you for submitting your form!

Guest Information & Consent Form

Call us now to book

+44 (0)15394 36288

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