About Madina
Madina
Journal
Contact
Practice with me
Yin • Reiki • Sound Bath • Tea Ceremony
Crystal Bowl Sound Bath - Sydney
Private Yoga
Pregnancy and birth
Online Yoga
Mentoring
Corporate Sound Bath
Emotional Release Yoga
My Account
Menu
Street Address
City, State, Zip
Phone Number
MOVE / LISTEN / CONNECT
Your Custom Text Here
About Madina
Madina
Journal
Contact
Practice with me
Yin • Reiki • Sound Bath • Tea Ceremony
Crystal Bowl Sound Bath - Sydney
Private Yoga
Pregnancy and birth
Online Yoga
Mentoring
Corporate Sound Bath
Emotional Release Yoga
My Account
Health and Safety Waiver
For your health and safety, please complete the form below.
Name
*
First Name
Last Name
Select event
*
Please an event you are attending
27 August 2022, Bondi Jn
Email
*
Mobile
*
Health background
*
Please list any health issues/pre-existing medical condition/injury/current medications
Dietary requirements or food allergies
Agreement
Please advise if you are pregnant or currently taking medication or have any injuries that should be made clear to the teacher. I declare that the above information is correct and I understand that yoga includes physical movements as well as an opportunity for relaxation. As in the case with any physical activity, the risk of injury may be present and cannot be entirely eliminated. I will not perform any postures to the extent of strain or pain. If I experience any pain or discomfort during or after class, I will stop performing a pose immediately and will inform the teacher. I will listen and respect the limits of my body on any given day and take a rest at any time during the class as needed. I understand that yoga is not a substitute for medical attention, examination, diagnosis or treatment. I should consult a physician prior to beginning any activity program, including yoga. It is my responsibility to notify the teacher of any serious illness or injury before yoga class. I accept that neither the teacher, nor Madina Yoga is liable for any injury and I take full responsibility of my own actions, or damages, to person or property, resulting from taking the yoga class. All information on this form is kept confidential.
I agree with the terms listed above
Cancellation policy
*
20% of the full retreat price is a non-refundable and non-transferable deposit that is paid by the organisers to the retreat place. Cancellations 30 days prior to the retreat date are refunded at 50%. Cancellations thereafter are non-refundable and non-transferable unless the participant finds someone to take their spot.
I understand and agree with the cancellation policy
Thank you!