Sign Waiver (OLD) - Big Sky Yoga Retreats

Full Name*

Nickname

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Email*

Birthdate*

(if you don’t want to provide your birthdate, please provide your age)

Occupation

Retreat you are attending

(please include dates - we have many Cowgirl Yoga retreats, so don’t just write “Cowgirl Yoga”!):

Emergency Contact Info

Name

Relationship

Phone

Retreat Questionnaire

How did you find out about Big Sky Yoga Retreats?

Roommate Request

We will match you with a roommate if you are traveling solo; otherwise please indicate that you have booked a single room. If you are coming with a friend/partner and plan to room together, please put her name here.

Are you celebrating something on this retreat?

(birthday, big life event)? We’d love to help you celebrate!

Medical & Dietary Info

Do you have any health issues/medical conditions that we need to know about?

If yes, please explain

Do you have any specific injuries that we need to know about?

If yes, please explain

Are you taking any medications?

If yes, please explain

Are you a vegetarian?

Are you a vegan?

Do you prefer

Red Wine
White Wine
Beer
Don’t drink alcohol

Do you have any food allergies or restrictions?

If yes, please explain

Tell us about your food preferences too (i.e. can’t stand chicken, love any kind of beans, etc.) the more specific you are, the better! Please note: we will accommodate all dietary restrictions. Every effort will be made to accommodate dietary preferences, but sorry, we cannot guarantee it, especially if your list is long or complicated.

Fitness Info

Please contact us if you have any questions about your ability to participate in activities. We suggest that you consult your physician about participating following any serious illness or injury. We strongly recommend that you use the time prior to your retreat wisely to increase your fitness level so that you can get the most out of your active vacation.

Describe your current fitness routine

Include the activities you participate in (running, weights, swimming, cycling, pilates, etc.), the frequency with which you participate in each activity (how often, how far, how long), how long you have been doing each activity, and any other relevant info.

What is the main goal of your current fitness routine?

(weight loss, stress reduction, feeling good, etc.)

Please give us more detailed info on your yoga experience

Which styles do you enjoy most, have you attended other yoga retreats, are you a yoga teacher, etc. Otherwise please indicate that you are a beginner.

Please check box:

I understand that we will mostly practice vinyasa flow yoga, which is a challenging and vigorous style. I understand that it would be optimal for me to take a few flow classes in my area prior to the retreat, and that it is important to have a strong fitness level in order to practice this style.

Do you have any specific health and fitness goals you’d like to share with us?

Your Nordic ski experience

beginner
intermediate
advanced

For yoga and ski retreats

Do you have previous riding experience?

For Cowgirl YogaTM retreats

If yes, please describe for how long, what style, etc.

Please check box:

I understand that there are weight restrictions for horseback riding, for safety reasons. In general, 175-195 lbs. is our max (also depending on your height).

Please check box:

I understand that we will be hiking at high altitudes and this requires working towards a strong cardio fitness level prior to the retreat.

For yoga and hiking retreats:

Have you ever experienced altitude sickness before?

Your Intention

What do you hope to get out of this retreat?

Please share your intentions, goals, hopes and dreams, etc.!

Do you have any questions or concerns?

(please call if you would like to discuss.)

Is there anything else that you would like us to know about you?

Waiver Page Test

Emergency Contact Info

Retreat Questionnaire

Medical & Dietary Info

Fitness Info

Your Intention