Bethany Beach Questionnaire

Name

First Name

Last Name

Phone

(###)

###

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Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Emergency Contact Name

First Name

Last Name

Emergency Contact Phone

(###)

###

####

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

What classes are you most excited about taking?

Handstand, contortion, workout, etc! Open to specific suggestions of what to include in the classes too.

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

Do you have any dietary restrictions or preferences?

Please elaborate if so.

Do you need a mat to be provided for you?

Yes

No I will bring one

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

Yes

I will be connecting the group via group text as well. Is it okay to share your cell number with our group?

Yes

Do you have any questions or suggestions for planning our retreat?