Secure your place!

Only 12 places available

£100 NON REFUNDABLE DEPOSIT

Payment Details

Account Name: Miss D Albert 

Bank: Santander 

Account Number: 39022146

Sort Code: 09-01-26 

BALANCE DUE 25th April 2022

Guest Registration Form

    Guest: *

     

    Gender: *

    Birthdate: *

     

    Contact Information *

     

    Address:

     

    Emergency Information *

     

    Health & Well Being Information

     

    Do you have any special dietary requirements? (eg: gluten-free (please specify if you are celiac), allergies, vegan etc…) *

     

    Women: Are you pregnant or is there any possibility of being pregnant? If YES, please indicate your due date

     

    Do you have any health limitations or physical injuries? Please indicate if you have any major health issues (ex high/low blood pressure, arthritis, asthma, diabetes, seizures, osteoporosis, etc.) *

     

    How is is your Mental Health do you suffer from (Low Mood, Anxiety, Depression)

     

    Have you practiced Yoga before? *

     

    Are you bothered by scents (essential oils, incense, perfumes etc.)? If yes, please let us know the details. *

     

    Have you ever practiced Yoni Steaming? If yes, what was your experience? *

     

    Do you have an IUD or coil fitted?


     

    Have you had effective radio frequency ablation treatment


     

    Contraindications to Yoni Steaming

    It is strongly advised that you DO NOT Steam:
    • If you are menstruating
    • Have had surgery within the last 6 weeks
    • Have had effective radio frequency ablation treatment
     

    Do you have a spiritual practice?

     

    How did you learn about the Red Lipstick Tribe Retreat? *

     

    What inspired you to come to this retreat?

     

    What type of room do you require?

     

    AGREEMENT OF RELEASE AND WAIVER OF LIABILITY

    I hereby agree to the following: As I participate in activities offered by the hosts and special guests, I understand that the offerings of this retreat are not a substitute for medical attention, examination, diagnosis, or treatment. I agree to not consume alcohol or recreational drugs, I will receive fitness related information and instruction. I recognize that all exercise programs require physical exertion that may be strenuous and may cause physical injury and I am fully aware of the risks and hazards. If at any time during the activities I feel discomfort or pain, I will inform and seek assistance from the facilitators. I may take time out at any time over the retreat. I will listen to my body and respect its limits on any given day. I understand that it is my responsibility to consult with a physician prior to and regarding my participation in any activity program. I represent and warrant that I am physically fit and I have no medical condition that would prevent my participation in classes or workshops. I recognize that it is my responsibility to notify my instructors of any serious illness or injury before every activity. I accept that neither the instructors, nor the hosting facility, are liable for any injury, or damages, to person or property, resulting from my participation in this retreat. I understand that the £100 deposit for the retreat is final with non refundable and the balance of my payment is due by April 25th 2022.

    Cancellation

    Cancellation fees will apply due to associated costs such as the catering service, accomodations, special guests, etc. I agree that all cancellations made less than four weeks in advance of the retreat be paid in full and that I may transfer my spot to another person. Exclusion of Participation: In the unfortunate circumstance, if a guest conceals physical and/or health issues, is unfit, and/or causes disruptions that endanger the provision of the service and/or the health of other participants,facilitators, or equipment the guest can be excluded from the participation of the Retreat after an initial warning. If the situation arises, the contract will be terminated without further notice, already paid costs are non-refundable and incurring costs are to be paid by the guest. I have read the above release and waiver of liability and fully understand it’s contents as well as the Refund/Cancellation Policies. I voluntarily agree to the terms and conditions stated above.

    CONFIRMATION

    BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.