Yoga Weekend with Jana Osborne & Jo Tytherleigh June 2015

Please indicate which session(s) you wish to attend:

Saturday 20th June evening:

□ Fire, song and food - with World Heart Song led by Eliza Kenyon £15

□ Camping at Harewood Farm, early morning yoga and breakfast £25

Sunday 21st June International Yoga Day:

□ Full day of explorative yoga and holistic cooking £45

□ Inclusive price for all sessions and camping £75

Name……………………………………………………………………….

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Details

Directions: Harewood Farm is just a few minutes by car from the village of Calstock or a 20min picturesque walk from Calstock station. Detailed directions will be sent to each participant before the event– along with any car sharing possibilities. The postal address is Harewood Farm, Harewood, Calstock, PL18 9SQ.

Things to bring to all sessions: your own rug, mug, plate, bowl and cutlery – karma yoga will be practiced eg you will be responsible for clearing up your own things.

Campers: tents can be set up from 4.30pm and the evening food will be served at 6pm. There are two compost loos with views and basic washing facilities. Overnight campers will need to be off the site by 10am when the Yoga day starts.

Diets: The food will all be vegetarian using our own and Tamar Valley produce. Please let us know in advance if you have any medical dietary requirements.

Yogis: please bring your own yoga mat. All those attending any yoga sessions should complete and return the medical form below

Payment

Please make cheques payable to Jo Tytherleigh & send to 3 Harewood House East, Calstock, PL18 9SQ or by Bank transfer to:

Sort code 20-12-80 Acct no. 60312126 with the Ref. Yoga Day.

Medical Information for Yoga sessions

Please be assured all information given is CONFIDENTIAL

Name:

Date of birth:

Please tick below if you have any of the following medical conditions.

These conditions may require specific modifications to your yoga practice, please give details.

abdominal disorder or recent surgery 0

arthritis (osteo or rheumatoid) 0

back pain (including cause if known, can use reverse) 0

knee problems 0

hip problems 0

shoulder or neck problems 0

heart disorders 0

high blood pressure 0

low blood pressure 0

asthma 0

diabetes 0

auto-immune disorder (e.g. M.E. M.S. Lupus etc) 0

epilepsy 0

anxiety/depression 0

sensory disorder affecting eyes or ears 0

balance affecting disorder 0

other (to be discussed with tutor) 0

Are you /could you be, pregnant Yes/No

Do you have any old injuries that still trouble you?

Or any other medical conditions not covered above?

Do you have any emergency medication that we may need to administer, please provide details?

Whilst all due care will be taken by my yoga teacher, no liability can be accepted for any injury & I participate in this event of my own free will.

Signed……………………………………………………………………………………….

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