Full Names & Surname (as shown on passport)
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Identification (ID) Number:
Passport Number:
Passport Expiry Date:
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Flight Details (Arrival & Departure)
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Emergency Contact Name and Cellphone Number: (Spouse or Relative)
Medical Practitioner / Doctor Name and Telephone Number:
If you are pregnant, please indicate how many months
Any other requests or comments:
Registration and Agreement of Release and Waiver of Liability Form Yatra Bliss in India – 21 September 2027 to 1 October 2027 By completing, signing and answering this form, I hereby agree to the following: 1. That I am participating in a Yoga Class, Workshop, or Pre-registered yoga event/retreat offered by Ananda Wellness, Ananda Wellness Getaways during which I will receive information / instruction about Yoga, Meditation, Breathwork, Holistic Wellness, Sound Healing, Nature Walks, TRE (tension, stress, Trauma release) and any other activity included in the itinerary. I recognize that Yoga and some of the retreat activities listed on the itinerary may require some physical exertion, which may be strenuous and may cause physical injury. I am fully aware of the risks and/or hazards involved. 2. I understand that it is my responsibility to consult a physician prior to and regarding my participation in the Yoga Class, Workshop, or Pre-registered yoga event/retreat, along with all the itinerary activities. I certify that I am physically fit, and I have no medical condition, which would prevent my full participation in the Yoga Class, Workshop or Pre-registered yoga event/retreat, along with the itinerary activities. 3. I agree to assume full responsibility for any risks, injuries or damages, known or unknown, which I incur as a result of traveling and participating in any yoga program/ event/retreat and all activities hosted by or at Ananda Wellness & Ananda Wellness Getaways, including hot or warm temperature activities and yoga. 4. I knowingly, voluntarily and expressly waive any claim that I may have against Ananda Wellness, Ananda Wellness Getaways, its directors, instructors, co-hosts, staff, owners and family, for any theft, injury, death or damages that I may sustain as a result of being in any facility indoors or outdoors where Ananda Wellness & Ananda Wellness Getaways provides classes or as a result of participating in a Yoga class, Workshop or Pre-registered yoga event/retreat and all itinerary activities; including loss that may be caused by negligence of the release party. 5. I release and discharge Ananda Wellness & Ananda Wellness Getaways, its directors, owners, co-hosts, staff, family and its instructors from any and all liability, claim, demand or action that I may have related to the loss, theft or damage of any personal property while participating at any facility, venue / studio or outdoors where Ananda Wellness & Ananda Wellness Getaways is hosting/ facilitating / instructing a Yoga Class, Workshop, or Pre-registered yoga event/retreat in person and online, locally or internationally. 7. I give consent that personal information may be passed to referring doctors and other professional persons concerned. 8. I realize that hands on physical adjustments may take place during a class, workshop, event/retreat by means of physical touch and contact and I agree and consent hereto. 9. I consent to photographic pictures/videos being taken of me during any Yoga Class, Workshop or Pre-registered Yoga event/retreat in person and online and I give permission for these photographic pictures/videos to be used on any of Ananda Wellness & Ananda Wellness Getaways or affiliated social media accounts and platforms including prints and or other media related to when required. In non-agreement of this please kindly send us an email to travel@anandagetaways.com and we will ensure your privacy is kept confidential by means of blurring out or removing your image where possible. 10. I, my heirs or legal representatives, forever release, waive, discharge and covenant negligence or other acts. 11. Cancellation Policy: International Retreats/Getaways and collaboration or co-hosted retreats/getaways cancelled four (4) months or longer before the retreat qualifies for a full refund of what has been paid, this includes the non-refundable deposit. Cancellations three (3) months before the retreat/getaway qualifies for 70% refund of fees paid this excludes the non-refundable deposit. Cancellations two (2) months before the retreat/getaway qualifies for a 50% refund of fees paid this excludes the non-refundable deposit. Cancellations one (1) month before the retreat/getaway qualifies for 40% refund of fees paid this excludes the non-refundable deposit. No refunds, credits or transfers will be granted for any reason whatsoever after the one (1) month / 30 (thirty) days minimum period has lapsed. Unfortunately, regardless of the reason for cancellation, no exceptions will be made, we may grant leniency if you can find someone to fill your spot, in this case 10% of the fees paid by you excluding the non-refundable deposit may be refunded, granted the new attendee has paid in full and their booking is confirmed and this leniency has been agreed upon in writing. All cancellations are to be done with written notice given via email . In the case of a natural disaster, Ananda Wellness & Ananda Wellness Holistic Getaways applies to the “act of god” rule and no fees will be reversed, refunded or credited. Please take the time to read the full Refund & Cancellation Policy. (find the link below) I have read the above registration, release and waiver of liability and fully understand its contents. I am 18 years of age and older and voluntarily agree and consent to the terms and conditions stated above. I have read the foregoing and fully understand the contents thereof. This Agreement, Authorization and Release shall be binding upon me, my heirs, legal representatives, and assigns. By completing and signing this form online by means of digital Name & Surname entered below and sending it back, you acknowledge having read it and agree to and confirm all the content and information provided, kindly note that your “typed” full names on submission of the form acts as your binding electronic signature:
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