Advanced course application form Your first and last name Your email Your phone number (mobile) Your address Special dietary requirements Current physical activities How did you first hear about us? Please give details (how long, how often, what style, etc.) about your yoga and meditation background and describe your current practice Please mention any relevant medical history (including any serious injuries in the past, whether fully healed or not) What are you hoping to get out of this course? I am coming on my own, but I'm happy to shareon my own, and I want a single roomwith a friend (sharing a twin room)with my partner (sharing a double room) Friend's / partner's name A €150 supplement will be applied to your balance if you require a single room Please check with us about single room availability before booking Can we add your email to our mailing list? We send about six newsletters per year with news from the farm and special offers on our courses. You can unsubscribe at any time. We will not share your email address with anyone. No thanksYes please I agree with the Terms and Conditions Apply now
