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Sankalpa Retreats

Retreat Health & Participant Information Form

Please complete this form in full within 7 days. All information is confidential and used only to support your safety and wellbeing during the retreat.

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Do you have travel Insurance?

Do you have any of the following medical conditions?

Tick all that apply
Physical Activity & Yoga Experience- Have you practised yoga before?

Consent & Responsibility

Please read carefully:

I confirm that:

• The information provided is accurate to the best of my knowledge.

• I understand that I participate in all sessions voluntarily.

• I accept responsibility for my own health and wellbeing.

• I will inform the retreat facilitators of any changes to my health before the retreat begins.

• I understand that retreats are not a substitute for medical or psychological treatment.

Fit to Travel Confirmation

Please read carefully:

I confirm that:

• I am physically and mentally fit to travel internationally and participate in retreat activities.

• I do not have any condition that would prevent me from flying or engaging in light to moderate physical activity.

• I have not been advised by a medical professional to avoid travel, yoga, breathwork, or similar activities.

• I understand that it is my responsibility to consult a GP or medical professional if I have any concerns before attending.

• I confirm that I have appropriate travel insurance that covers medical care, activity-based participation, and repatriation if required.

Assumption of Risk & Liability Waiver

Please read fully before agreeing.

I understand that participation in retreat activities organised by Sankalpa Retreats and its facilitators may include, but is not limited to:


• Yoga (gentle and dynamic)

• Breathwork practices

• Meditation

• Sound healing

• Workshops

• Body-based practices

• Excursions or optional activities


I acknowledge that:

• These activities involve inherent risks, including but not limited to physical injury, emotional release, psychological discomfort, illness, or aggravation of pre-existing conditions.

• I voluntarily choose to participate in all activities.

• I accept full responsibility for my own physical, emotional and mental wellbeing during the retreat.


I agree that:

• Sankalpa Retreats, its directors, facilitators, employees and contractors shall not be held liable for any injury, illness, loss, damage, emotional distress, or health complication sustained during or as a result of participation in the retreat.

• I participate entirely at my own risk.

• I will inform facilitators immediately if I feel unwell or unable to continue.


By agreeing below, I confirm that:

• I have read and understood this waiver.

• I understand that this is a release of liability.

• I agree to these terms voluntarily.

Media Consent

During the retreat, photographs and short video clips may be taken for promotional use on:


• Sankalpa Retreats website

• Social media platforms

• Marketing materials

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I give permission for photographs/videos of me to be used for promotional purposes.
I do not give permission for photographs/videos of me to be used.
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