Health Questionnaire and Liability Waiver Form

In order to participate in our retreats, please complete and submit the health form below no later than two weeks prior to your retreat.


  • Personal

  • Please enter a value between 18 and 75.
    Please tell us your age
  • Please tell us your height. For example, 184cm or 5ft 4inches.
  • Please tell us your weight. For example, 65kg or 10.2 stone.
  • Health

    Please answer the questions below with as much detail as possible. If you answer YES to any of the questions, please provide further details, where applicable.
  • Additional