Reservation Form - Yoga Vacation / Exploration Week in Southwest France (May 8 - May 15,
2010)
with Margret-Anne Cummings / SunnyDay Concepts for
Living
Please fill out completely mail to: 5433 Fairmount Avenue, Downers Grove, IL 60515. All information below will remain
strictly confidential
Your Name Address City State ZIP
Daytime Phone Nighttime Phone Cell Phone e-mail
In case of emergency contact: Name Name e-mail Relation to
you
Do you have any medical conditions that we should be aware
of?
___ Heart condition ___ Allergies ___ Recent Injuries ___ Hearing or vision problems ___
Other If yes to any, please explain: _______________________________________
Date of Birth What other sports / interests do you participate? What is your
occupation?
Mark the foods you DO NOT eat:
___ Chicken ___ Beef ___ Pork ___ Fish ___ Dairy ___ Other (please list):
________________________________________________________
Your yoga experience
___ Never ___ Beginner ___ Intermediate ___ Advanced
Booking Information and to answer any questions, either call 331-454-6025 or email sunnydayconcepts@aol.com. You
must submit your signed Reservation Form and Participant Agreement, Release, and Assumption of Risk Form within
one week of booking your trip.
Prices do not include airfare. Please make check payable to: Margret-Anne Cummings. $1,200 deposit is required at
time of reservation with remaining balance due by March 8th,
2010.
Travel and Flight Information: Please book your flights to arrive on the first posted yoga date and to depart on the last
posted yoga date to and from Bordeaux (BOD) or Bergerac. A shuttle will be available to take you from either of these
airports to Chateau Perroterie between noon and 4 pm. If you miss your shuttle, ground transportation via taxi will be at
your own expense. You must bring your valid passport to enter France and return. All guests are responsible for proof
of citizenship documents. Note: your passport must have at least six months remaining before expiration to be valid.
Minors require special written documentation to leave the country. More detailed information will be provided in your
Yoga Vacation Confirmation packet.
Pricing: Includes double occupancy room, 3 meals each day, beverages and wine at dinner, daily yoga and meditation
instruction, day trip to St. Emillion, tour and tasting at local vineyard, Wi-Fi, pool, transportation arranged from airport to
Chateau Perroterie. Airfare is not included but flights will be suggested. Note prices reflect shared room for 2 guests,
solo guests will be paired together. Single rooms maybe available at an additional cost. *Mats and blocks will be
available for use at Chateau Perroterie.
If reserved before February 5th, 2010 price is $2,299 per
person.
If reserved after February 5th, 2010 prices may go up to $2,499 per person subject to movement in the Euro currency
exchange rate.
All registrants must read and agree to the terms of the Participant Agreement, Release and Assumption of Risk form in
order to register for the Yoga Vacation / Exploration week in Southwest
France.
Cancellation Policy Definitions: "Cancellation" is defined as not attending your scheduled Yoga Vacation / Exploration
week. "You" refers to the guest booking a Yoga Vacation / Exploration week trip. "We" refers to Sunny Day Concepts
for Living / Margret-Anne Cummings. It is your responsibility to read and understand this cancellation policy before
making a reservation. Naturally, no one books with the intention of cancelling their trip, but unexpected things do
happen, so please consider purchasing travel cancellation
insurance.
Guest Cancellation Policy: If you cancel before March 8th, 2010, we will refund all but $600 of your deposit. If you
cancel after March 8th, 2010, and we can not fill your spot, you will forfeit the deposit of $1,200. If you cancel after
March 15th you will forfeit $1,800.
We can not offer credit for arriving late or leaving early. If we cancel your Yoga Vacation / Exploration week trip due to
unforeseen circumstances or Acts of God, you will get a refund of your payments to us, constituting a full settlement.
Sunny Day Concepts for Living / Margret-Anne Cummings is not responsible for your expenses incurred in preparation
for any cancelled trip, such as airline tickets, loss of work, and/or other costs associated with preparing for your
trip.
Travel Cancellation Insurance: Depending on the policy and conditions, travel cancellation insurance will pay for some
or all cancellation fees. With most agencies, insurance must be purchased within 14 days of making your reservation.
We strongly recommend purchasing cancellation insurance through your travel agent, AAA, or visit the following website
to compare insurers: http://insuremytrip.com.
Please sign below confirming that you have read and understand the above Cancellation Policy AND have also read
and agree to the Participant Agreement, Release, and Assumption of Risk form and agree to the terms therein. Thank
you!
Guest Signature: ____________________________________________ Date: ______________, 2010.
***
Participant Agreement, Release & Assumption Of Risk
In consideration of the services of Sunny Day: Concepts for Living / Margret-Anne Cummings, her agents, participants,
and all other persons or entities acting in any capacity on their behalf (hereinafter collectively referred to as "Sunny Day:
Concepts for Living / Margret-Anne Cummings"), I hereby agree to release, indemnify, and discharge Sunny Day:
Concepts for Living / Margret-Anne Cummings, on behalf of myself, my children, my parents, my heirs, personal
representative and estate as follows:
1. I acknowledge that I am participating in the Yoga Vacation & Exploration Week - which includes Yoga and meditation
instruction/ classes and short excursions—offered by Margret-Anne Cummings/ Sunny Day: Concepts for Living. I will
receive information about Yoga and Health. Whilst we teach thoughtfully with safety as a priority, and with
accommodations for individual limitations and varying levels of experience: Yoga is still a predominantly physical
practice. I recognize that yoga requires physical exertion, which may be strenuous and may cause physical injury, and I
am aware of the risks and hazards involved.
2. I expressly agree and promise to accept and assume all of the risks existing in this activity. My participation in this
activity is purely voluntary, and I elect to participate in spite of the risks.
a) I understand that it is my responsibility to consult with a physician prior to and regarding my participation in
these program(s). I represent and warrant that I possess the level of physical fitness required to participate in
the yoga and other programs/excursions.
b) I agree to Stop participating at any time in which I feel pain or severe discomfort and to alert the instructor.
3. I agree to assume full responsibility for any risks, injuries or damages, known or unknown, which I might incur as a
result of participating in the yoga classes / Yoga Vacation & Exploration Week.
4. I hereby voluntarily release, forever discharge, and agree to indemnify and hold harmless Sunny Day: Concepts for
Living / Margret-Anne Cummings from any and all claims, demands, or causes of action, now and hereafter, which are in
any way connected with my participation in this activity or my use of Sunny Day: Concepts for Living / Margret-Anne
Cummings' equipment or facilities, including any such claims which allege negligent acts or omissions of Sunny Day:
Concepts for Living / Margret-Anne Cummings.
5. I certify that I have adequate insurance to cover any injury or damage I may cause or suffer while participating, or
else I agree to bear the costs of such injury or damage myself. I further certify that I am willing to assume the risk of any
medical or physical condition I may have.
6. I, my heirs or legal representatives forever release, waive and discharge any liabilities against Margret-Anne
Cummings/ Sunny Day: Concepts for Living, assistants, or any of her agents for any injury incurred by my voluntary
participation in this Program.
7. I understand that it is my responsibility to leave the property at Chateau Perroterie in reasonable state of cleanliness
and general order.
I have had sufficient opportunity to read this entire document. I have read and understood it, and I agree to the condition
and terms stated above.
Signature of Participant: ______________________________ Print Name : ______________________________
Address: ____________________________________________________________________________________
Phone: ___________________________________________ Date : ____________________________________