Retreat Consent Form Retreat Consent Form FULL NAME EMAIL ADDRESS CONTACT NUMBER PLEASE TICK PLEASE TICK I hereby confirm that I accept the risks involved with any physical activity/physical movement and other activities that I may participate in on Retreat. I confirm that I am voluntarily participating in all activities at my own risk, and accept responsibility for myself. Inner Journey with Kaya, and Kaya Slater are not liable for any injuries or risks or for me in any way. I accept full responsibility for myself. I understand that there are no refunds given for Retreats. I understand that in special cases in early cancellations (more than 4 months) a partial credit note may be offered towards a future Retreat , with the non-refundable deposit amount of $600 being retained. I understand that credit notes are only available in some cases and are subject to availability and are not available for late cancellations (four months before Retreat date). I understand that in Overseas retreats, refunds and credit notes are not available in most cases. I understand that if I cancel my Retreat later than 4 months before the Retreat date there will be no credit note offered. Dietary Requirements (Please let us know if you have any special dietary requirements) Please let us know if there is anything else we should know about before you proceed with this program. SUBMIT