RETREAT REGISTRATION FORM
Name of Retreat:
Preferred / Spiritual Name:
Date of birth:
Important! We need to know who to call in case you get ill here.
Contact Name for Emergencies:
Contact's Telephone Number:
Would you like to receive our email newsletter? Yes /No
I agree to take full responsibility for myself and my possessions during this retreat. I have read and agree to all terms, conditions and liabilities (see below)
Sign and date _____________________________________________
Terms and conditions
Cancellation and refund policy
More than one month before start date - full refund minus 10% admin fee
More than 2 weeks before start date - 50% refund
Less than 2 weeks before start date- No refund
Once retreat has begun- No refund
I understand that I am registering for a self inquiry meditation retreat that may activate a physical, emotional, and/or psychological reaction. I understand that I accept to take full responsibility for assessing the risk any activity poses to me. I will choose a safe course of action for myself.
Furthermore, I understand that Paul Hurcomb, all assistants and helpers, and the staff of the venue, are not responsible for any personal injury, diseases, damage or loss of personal property at the retreat premises.
I agree to assume the liability for any injuries or damages I might experience arising out of my participation in this retreat.