Autumn Yoga & Meditation Retreat

PARTICIPANT PREFERENCES & EMERGENCY CONTACT FORM

Hegel Yoga | Elk Mountain Ranch | Oct 16-19, 2025

Note: Your answers are seen only by Tish and Shelby (the cook)

First name

Last name

Cell Phone (for contact during travel if needed)

E-mail

If you drink milk, which milk to you prefer?

Do you have any food allergies we should be aware of?

Do you have special dietary needs or preferences we should be aware of (example: vegan, dairy free, gluten free, foods that disrupt your digestion, etc.)

Is there anything specific you would like to include in the breakfast items? (example: type of jam, bread, fruit or yogurt, juices)

Do you have any physical limitations that I should be aware of when planning Yoga asana (posture) classes during the retreat?

Do you have any particular goals you would like to focus on during the retreat? (These could be either general or specific goals pertaining to Yoga and meditation)

Are you interested in a group hike during the retreat?

Emergency Contact: Name, Phone Number, Relationship to You

Thank You!