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Your Full Name*
Your Email Address*
Your date of birth (dd/mm/yyyy)
Your Nationality
Street Name
City
Post Code
State
Country
Phone (including country Code)
Emergency Contact: Name
Emergency Contact: Phone
Emergency Contact: Relationship to you
Emergency Contact: Email
Have you been practising Yoga prior to taking part at our retreat?
If yes please explain ( for how long have you been practicing Yoga, at which studios and how often do you usually go to class)
Have you ever practiced any advanced classes?
Have you ever taken part in any yoga competitions?
Are you a certified yoga teacher ?
If yes , please explain (How many years of experience do you have teaching, how often have you practiced advanced classes, where and when have you been competing etc.)
Do you have any current condition, injuries, health conditions,surgeries or chronic pain that may affect comfort/participation during yoga classes or activities during the retreat (including pregnancy )?
If yes please explain
How did you hear about Hot Bikram Retreats?
Do you have any food allergies or special dietary considerations?
If yes please explain

Bali - November 2019

Mexico - Christmas 2019

Mexico - New Years 2019

Bali - April 2020

Ibiza- May 2020

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