APPLICATION 

Thanks for your interest in this amazing Retreat! By completing the following details you are applying to take part in the Beeyond Retreats 10 day Spiritual Adventure Retreat from 22 September 2019 to 2 October 2019 in Rishikesh, India.  Your application will be viewed and responded to within 48 hours of receipt. We may even give you a call just to clarify any details and have a chat, because we know it’s not always easy to get across what you want on a form!

We reserve the right to decline any application. Please answer all questions fully. Your information will be kept strictly confidential.

(Once your application is approved, we’ll send you the payment details)

Thanks, we’ll get back to you soon.

Warmly,

The Beeyond Retreats Team

ONLINE APPLICATION

Gender

Medical Retrictions

Have you been diagnosed with a mental health issue, or do you have an undiagnosed mental health issue? Eg. depression, anxiety, panic attacks, self-harm etc. *

Are you currently receiving, or have you in the past two years received any support for any mental health issue? *

Have you recently suffered from any major trauma, either psychological or physical? *

Do you have any medical conditions we should know about, eg. allergies, heart conditions, pregnancy etc and/or are you taking any prescribed medication? *

Do you have any dietary considerations? *

I understand that a spiritual adventure retreat will require my full physical and mental health and I confirm that I am fit to participate in it. *

I have read and agree to the Terms and Conditions. *

I hereby certify that the above information is true and correct to the best of my knowledge.

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