Please complete the registration and health information form below, if you have not done so already. Following your form submission, you will be directed to our shopping cart for secure payment.
If there are errors in your application, you will not be directed to the payment page and must correct them here, then press Submit & Pay.
Find more Retreat information here
Describe Your Fitness: Include the activities in which you participate (e.g. running, hiking, walking, biking, skiing, aerobics, swimming, yoga, pilates, etc.), the frequency with which you participate in each activitiy (i.e. how often, how far, for how long), the duration of your fitness program, and any other information you woud like us to have.
What is the primary focus of your current exercise program? (i.e. fitness, weight-loss, competition, sanity!)
What do you hope to accomplish and/or learn at the retreat?
Your credit card information will be sent through our secure online shopping cart payment system. To submit payment, you can either:
I voluntarily agree to this Waiver and Assumption of Risk in favor of the Owner, VyAyr Fitness, in consideration for the opportunity to receive instruction from the Owner or the Owner's employees, and/or to engage in the activities sponsored by the Owner, as follows:
I understand that there are certain risks and dangers associated with the activity and being outdoors and that these risks have been fully explained to me.
I fully understand the danger involved.
I fully assume the risks involved as acceptable to me and I agree to use my best judgment in undertaking these activities and follow all safety instructions.
I waive and release the Owner from any claim for personal injury, property damage, or death that may arise from my participation in the activities or instruction.
I am a competent adult and I assume these risks of my own free will.
I understand that all pictures taken by VyAyr Fitness are owned by VyAyr and may be used in marketing materials for VyAyr Fitness.
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