Personal Information Form

Do you have any pre-existing medical conditions or are you taking any prescription medication? If yes, please describe in detail.

Do you have any special dietary requirements or allergies? Do you have aanaphylactic reaction to any of these? If yes, please outline it in detail.

What is your intention in joining our Yallingup Gypsea retreat? (Surfing, Yoga, Meditation, Connection to self & others)

Are you driving down to Yallingup? or Car pooling

What is your experience with surfing?

Gypsea Retreat - Yallingup Personal Information