Participant Form & Retreat Acknowledgment

Thank you for joining us for One Bold Shift: Ocean Experience on May 16, 2026. This small-group retreat includes beginner-friendly yoga, mindful movement, breathwork, guided reflection, journaling and shared conversation designed to help participants slow down, reconnect with themselves and move one meaningful area of life forward with greater clarity and intention. Please complete this form before the retreat.

SECTION A – PARTICIPANT INFORMATION

SECTION B – EMERGENCY CONTACT

SECTION C – ALLERGIES / RELEVANT CONDITIONS

SECTION D – RETREAT EXPECTATIONS

& PARTICIPATION ACKNOWLEDGMENT

Please read the following carefully: This retreat includes gentle yoga, mindful movement, breathwork, guided reflection, journaling and group discussion. All yoga and movement practices are beginner-friendly and modifications are always welcome. Participation in all activities is voluntary. Participants are encouraged to move at their own pace, honor their personal limits and make choices appropriate for their own body, comfort and wellbeing. Participants may decline participation in any activity at any time. This retreat is educational, reflective and experiential in nature and is not medical care, psychotherapy, mental health treatment or crisis intervention.

By checking the box below, I acknowledge that I have read and understood the above statements.

SECTION E – LIABILITY WAIVER & RELEASE

Please read carefully:

I understand that participation in yoga, movement, breathwork and retreat activities involves inherent physical risks, including but not limited to muscle strain, falls, dizziness, fatigue or other physical discomfort.

I understand that it is my responsibility to consult with a physician regarding any medical concerns or physical limitations before participating.

I represent that I am physically and mentally capable of participating in retreat activities and understand that I may decline participation in any activity at any time.

I agree to participate voluntarily and to monitor my own condition throughout the retreat. I will stop or modify participation if I experience pain, discomfort, dizziness or distress.

I understand that the facilitators are not medical professionals, psychotherapists or licensed healthcare providers and that this retreat does not constitute medical or psychological treatment.

In consideration of participation in this retreat, I voluntarily assume all risks associated with participation and release and discharge the retreat facilitators, organizers, hosts, venue owners and associated representatives from liability for injury, loss or damages arising from participation, including claims arising from ordinary negligence, except where prohibited by law.

In the event of a medical emergency, I authorize emergency medical care if necessary.

SECTION F – MEDIA RELEASE

During the retreat, photographs and short video clips may be captured for future social media, website, promotional or educational use related to The Blissful Badass and future retreat offerings. Written feedback or testimonials shared voluntarily after the retreat may also be used for marketing purposes. Testimonials may be edited slightly for length or clarity but not in a way that changes meaning. Participants may not record or distribute retreat materials, discussions or participant experiences without permission.

SECTION G – HEALTH ACKNOWLEDGMENT

SECTION H – PRE-RETREAT INSIGHTS

If you already have responded to these questions, please skip

this section and just Sign & Submit and we're good to go!