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Retreat Consultation Form

Multi-line address
Yoga & Movement Experience
Do you have any injuries, chronic conditions, or physical limitations?
Are you currently pregnant or postnatal?
Is there anything we should be aware of when guiding movement practices?
Please confirm any dietary requirements:
Do you have any food allergies or intolerances:

Participant Agreement & Activity Waiver

Our retreats include optional outdoor and nature-based activities. These experiences are designed to be grounding, empowering, and deeply connecting to place. Your safety and wellbeing are always our priority.


Nature-Based Activities Included

These may include (depending on retreat location and conditions):

  • Wild swimming / cold water immersion

  • Paddle boarding

  • Guided hiking / nature walks

  • Outdoor yoga or meditation

Participation in all activities is entirely optional.


Personal Responsibility & Health Declaration

By signing below, I confirm that:

  • I am physically and mentally fit to take part in retreat activities, or I have disclosed any relevant medical conditions, injuries, or limitations.

  • I understand that outdoor activities involve inherent risks including, but not limited to: cold exposure, uneven terrain, changing weather, fatigue, slips, falls, or water-related risks.

  • I understand that I am responsible for listening to my body and choosing my own level of participation.

  • I agree to communicate clearly with retreat facilitators if I feel unwell, unsafe, or unsure at any point.


Wild Swimming & Water Activities Specific Acknowledgement

If I choose to participate in water-based activities, I acknowledge that:

  • Cold water immersion can cause shock, dizziness, breath restriction, or fatigue.

  • I am responsible for entering and exiting the water safely and only when I feel comfortable.

  • I will follow all guidance given by facilitators and any local safety advisors.

  • I understand that these activities are not a substitute for medical treatment or professional water training.


Assumption of Risk & Release of Liability

I acknowledge that participation in yoga, movement, and outdoor activities is voluntary and undertaken at my own risk.

To the fullest extent permitted by law, I agree to release and hold harmless BearSoul Wellbeing, its facilitators, assistants, and venue partners from any liability for injury, loss, or damage that may occur during or as a result of participation in retreat activities, except where caused by negligence.


Emergency & Insurance

  • I confirm that I have appropriate personal travel and/or health insurance covering outdoor activities.

  • I authorise retreat facilitators to seek emergency medical assistance on my behalf if required.

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