Cambodia • Lauren Eckstrom + Travis Eliot • Dec. 29, 2017 - Jan. 5, 2018
Please submit the following information to us at least one month before the retreat.
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Full Name *
Retreat Intention
What are you looking to achieve by participating in this retreat?
Flights & Ground Transportation
Provide your arrival and departure flight details using the example formats. Ground transportation to and from the resort is included for arrivals/departures on retreat days (Dec. 29, 2017 - Jan. 5, 2018). If you are arriving early or staying late, you will need to arrange your own transport.
Arrival Date Time Airline Flight # *
Departure Date Time Airline Flight # *
Early Arrivals / Late Departures
If you are arriving or departing outside of the retreat dates, you may book additional nights at our resort directly through the hotel's website (http://thegreenleafboutique.com/) or find an alternative hotel. Please note the neighboring hotel is Advaya (http://www.advayaresidence.com/). Half our group will be staying at Advaya during the retreat.
Food Allergies
Please confirm any dietary ALLERGIES. We do our best to communicate this information ahead of time to the retreat staff. However, we ask that you confirm with your Bliss Host at each meal if you have a severe or fatal allergic reaction to specific ingredients.
Travel Insurance
Blissed Yoga Retreats requires that each retreat attendee purchase individual travel insurance. You understand that Blissed Yoga Retreats is not financially liable for any cancellations or circumstances out of our control (e.g. act of God, death in the family, changes to your schedule). We want to protect you -our guest- and require trip insurance to help protect your investment.
*
Indicate the travel insurance policy that you purchased (Company Name, Policy Name)
Photo Release Form
I hereby give permission to Blissed Yoga Retreats to use my photos and likeness in all forms of media for advertising, portfolio, demo, trade, stock photography, editorial, altering without restrictions and all other lawful purposes. I understand I am entitled to no compensation. I release the photographer all forms of claims and liability related to my photo usage.
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