Registration form

Retreat registration

First name

Surname

E-mailaddress

Telephone

June 18 - 24

Sept 10 - 16

Have you participated in a retreat before?

How did you find this retreat?

Is there any current physical or mental issue that can hinder yoga or breathwork? Is there any other relevant information of which the supervisors must be aware of in order to provide you the best possible support?

Who is your contact in case of emergency and what is your relationship to this person? Please write name and phonenumber.

"I have filled out this form truthfully and agree to the terms and conditions of Land of Deveza. I declare that I'm in good health to participate in all retreat activities. If there will be any changes concerning my health, I will inform Land of Deveza.Bekijk de voorwaarden

Thank you for your registration!