Loading...

April 29- May 6

2023

Retreat held at Casa Vista Verde in Roatan, Honduras 

Waiver & Agreement 


I waive any possibility of personal damage that may be attributed to the teacher (Alicia A. Fogell), the facility (Casa Vista Verde), or the program being taught. Alicia A. Fogell- Sol Warrior LLC shall not be liable for any injury, loss or damage to property or persons. I do not have any physical conditions or disability that would limit my participation or preclude an exercise/ stretch/ or energetic program. 

I understand that traveling to and from Roatan is my own responsibility. 

Alicia, Casa vista Verde, and its employees are not liable for any injury, loss or damage to property or persons for on site and off site activities. 

I am stable mentally and physically to participate and able to travel. I understand it is my responsibility to conduct myself in a respectful manner. 

I understand I am responsible for making choices that are best for my own health and wellness. 

First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Middle Name

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Middle Name

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Middle Name

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Middle Name

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Middle Name

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Middle Name

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Middle Name

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Middle Name

Last Name*
Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

Email*

Confirm Email*
Please answer the following questions

Are there any injuries, health conditions, or concerns Alicia should know about to make the experience more enjoyable? *

Please list all food allergies and preferences: *

Room preference: There are 5 bedrooms with private bath in the main house or the cabana with private bathroom.

Please tell us if there is anything else you may need or make your stay with us more comfortable *
Payment Agreement

$1,900 Before October 21st

$2,200 Regular Pricing

Payment options: PayPal or Venmo 



$500 deposit due upon sign up


SIGN UP BEFORE October 21st

Option 1: Pay in full (balance of $1,400) 

Due by: 3/15/ 2023


Option 2: 2 Payments of $700

Both payments due by: 3/15/ 2023


SIGN UP AFTER October 21st: 

Total cost: $2,200

$500 due upon sign up 


Option 1: Pay in full (balance of $1,700)

Due by 3/15


Option 2: 2 payments of $850


Option 3: 3 payments of $567

all payments due by 3/15


PRICE INCLUDES:

-Accommodations

-3 meals per day ( we will have 1 day off to allow time to venture out on the island- lunch and dinner is not included on this day)

-all classes with Alicia 

-Transportation to and from airport ( travel details will be discussed and organized closer to the date) 

-Transportation to and from activities on our day off 


what's not included:

- extra actives or excursions (please refer to the menu of options- a separate email will be sent closer to the date to organize which activities you'd like to do)

- Flights 

- as mentioned before- one day lunch and dinner- but if you'll just be staying at the retreat venue for the day meals can be organized. 








REFUNDS:


Your balance paid is refundable up to 3 weeks before travel date. 



$500 deposit is 100% refundable up to 30 days after sign up. 


after 45 days 50% refundable. No Refunds on deposit after that period. 


Parent(s) or Court-Appointed Legal Guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE!