Serenity Retreat, Dorset 2024 – Contact & Health Form Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *FirstLastDate of Birth *Phone *Email *Emergency Contact Name *FirstLastEmergency Contact Phone *Dietary Requirements (Allergies and genuine sensitivities only please) *Please tell me about your health & wellbeing. Describe any injuries, surgery, health problems, conditions or illnesses, including mental health. Include eye problems. *I have read, understood and take full responsibility for abiding by the December Serenity Retreat 2024 Advice and Cancellation Policy.YesSign up to my weekly newsletter for updates on yoga and coaching events?YesSubmit