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Select an Event Select an Event PIMAY Weekend Retreat August 24th - 25th 2024 Afrikan Yoga 14 Days Wellness Tour & Retreat Kenya, January 18th -31st 2025

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Email Address

Emergency Contact Name

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Do you have any prior camping Experience? Do you have any prior camping Experience? Yes No

If Yes, please describe briefly here

Do you have any dietary restrictions or food allergies? Do you have any dietary restrictions or food allergies? Yes No

If Yes, please specify

Do you have any medical conditions or require medication? Do you have any medical conditions or require medication? Yes No

If Yes, please provide details

Do you have any mobility or accessibility needs? Do you have any mobility or accessibility needs? Yes No

If Yes, please specify

Do you have your own camping equipment? Do you have your own camping equipment? Yes No

Would you like to participate in any specific activities? Would you like to participate in any specific activities? Hiking Foraging Stargazing Campfire Cooking Dancing Group Reasoning Other

How did you hear about this camping event?

Are there any specific concerns or questions you have about the camping trip?

Would you be interested in future camping events or newsletters? Would you be interested in future camping events or newsletters? Yes No

I acknowledge that camping involves certain risks and I agree to adhere to the camp rules and safety guidelines. I acknowledge that camping involves certain risks and I agree to adhere to the camp rules and safety guidelines. Yes No

I give permission for photos/videos taken during the event to be used for promotional purposes. I give permission for photos/videos taken during the event to be used for promotional purposes. Yes No