WOMEN RETREAT @ DANDELI REGISTRATION Form

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READ BEFORE YOU FILL THE FORM

Need Help?
If you need assistance while filling out the form, feel free to call or WhatsApp us at:
📞 +91 94823 84560 or +91 91643 55161

Note:
If you have any special conditions, medical requirements, allergies, or phobias that we should be aware of, please mention them in the [Special Instructions] section.

The program/activities includes a range of outdoor activities such as hiking, guided nature walks, wildlife observation, and team-building sessions. Please note that these activities involve moderate physical exertion and may include exposure to natural elements like insects, uneven terrain, and varying weather conditions.

• All activities will be conducted under the guidance of trained and experienced facilitators.
   
• First aid support will be available on-site; in case of emergencies, medical services will be contacted promptly.
   
• Please disclose any health conditions, allergies, or special requirements beforehand.
   

I, the undersigned participant, hereby give my consent to take part in the program organized by Urban Mowgli (Vanalok). I understand the nature of the activities and acknowledge the potential risks involved.
In the event of an emergency, I can be contacted or identified through the emergency contact number provided in the form.
I hereby release Urban Mowgli (Vanalok), its organizers, staff, and volunteers from any liability for injury, loss, or damage that may occur during my participation in the camp.

I consent to the use of photographs or videos taken of me during the camp for promotional or documentation purposes by Urban Mowgli (Vanalok).