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Embracing Ground Yoga LLC Retreat Personal Profile & Participant Agreement

To make your retreat experience as enjoyable as possible, please take a little time to tell us about yourself. We use these forms not just for the information listed, but also to get a sense of who you are, what you like to do, and what you hope to get out of your time with us. Please complete the form, submit, and sign the waiver that appears next.

  • Full Name*

  • Nickname

  • Address

  • Phone

  • Email*

  • Birthdate*


  • Emergency Contact Info

  • Name

  • Relationship

  • Phone

    Retreat Questionnaire

  • How did you find out about Embracing Ground Retreats?

  • Roommate Request

    We will match you with a roommate if you are traveling solo; otherwise please indicate which accommodation you booked. If you are coming with a friend/partner and plan to room together, please put 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

  • 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. 


  • Are you a vegetarian?

  • Are you a vegan?

  • Do you prefer

    •  Red Wine

    •  White Wine

    •  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.


    Yoga Experience & Intention

  • Please give us more detailed info on your yoga experience: 

        Which styles do you enjoy most?


​       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? (also feel free to email or call if you would like to discuss.)

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

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