Bethany Questionnaire

Name

First Name

Last Name

Phone

Country

(###)

###

####

What is your IG account?

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Emergency Contact Name

First Name

Last Name

Emergency Contact Phone

Country

(###)

###

####

What inspired you to join this intensive and what are you hoping to experience?

What classes are you most excited about taking?

Or what skills are you most excited to work on?

Are you interested in a lecture on goal setting, programming, recovery, or anything else?

Tell us a little about your current practice and experience with handstands and contortion.

Are there any injuries, poses, goals or things you'd like to share with us before the retreat?

Do you have any dietary restrictions or preferences?

Please elaborate if so.

I will be connecting the group on Instagram. Is it okay to share your IG handle with our group?

Yes

Do you want to be connected with other students to rent a car?

Yes

No I'm driving/ I will arrange my own transportation

If you selected "yes" to the previous question, do you feel comfortable driving the car?

Yes I can drive

No I'd rather not drive

If you want to be grouped to rent a car, what airport do you plan to fly into?

Anything else you'd like to share?