Sign Up Rising Women Retreat Your first name Your last name Your email Your phone number Your birthday I am applying to attend the Rising Women Retreat in 2025 April 19-252025 October 25-31 I choose the following chamber : Single room + shared bathroom (with another single room)Single room with private bathroomShared double/twin room + shared bathroom (with another room)Shared double/twin room + private bathroomShared triple roomShared quadriple room In case you are coming with friends/family members and would like to share a room with them, you can leave their names here Do you have any food restrictions, intolerances, allergies that we should know? Why would you like to take part in the Rising Women Retreat? Other information you would like to share: How did you hear from the retreat? If for any reason you need to cancel your reservation, you will receive a full refund of your payment when cancelation was made until 90 days before the start of the retreat (minus any PayPal, Square Up or credit card transaction fees), a refund of your payment minus deposit if the cancelation was made until 60 days before the start of the retreat. Within less than 30 days before the retreat starts no refund is possible, only if the space can be filled by someone else. No refunds will be given for failure to attend or complete the retreat.* Participant acknowledges that the practice of yoga involves physical movements and stretches that can push the Participant to his or her physical limits of prior training, flexibility, strength and endurance, that Participant should never push beyond his or her personal level of comfort when practicing yoga, that exceeding personal limitations may result in personal injury, that Participant assumes the risk of personal injury resulting from yoga practice and all other activities during the Retreat, and that Participant waives and releases all claims and covenants not to sue Anetta Hartono for personal injuries arising out of or resulting from yoga practice or other activities during the Retreat.* Travel Insurance: You are responsible for travel insurance. Any cancellation due to your health, work, personal or family circumstances must be refunded through your travel insurance policy. We cannot issue refunds unless we find someone to fill your spot, and it is requested that you protect your retreat investment with a trip insurance policy. NOTE: Many trip insurance policies require purchase within 14-21 days of your first deposit towards the trip.* I have read and agree to the Terms and Conditions (https://pantiara-yoga.de/terms-conditions/). After submitting this form you will receive a mail with further information and payment details from Karim, the owner of Bab Zouina. It is an honor to welcome you soon in March in the Moroccan Mountains. Δ