4 700,00 zł z VAT
In stock
First name - first person * (optional)
Last name - first person * (optional)
E-mail - first person * (optional)
Date of birth - first person * (optional)
Yoga practice level - first person * (optional) BeginnerSemi-AdvancedAdvanced
Include Starter Pack (bottle, eye bag, candle) for the first person (180,00 zł) (optional)
Allergies and diet suggestions - first person (optional)
Medical & Health information - first person (optional)
I declare that I am healthy and there are no contraindications to my participation in the trip and that I bear full responsibility for my health. (first person) * (optional)
First name - second person * (optional)
Last name - second person * (optional)
E-mail - second person * (optional)
Date of birth - second person * (optional)
Yoga practice level - second person * (optional) BeginnerSemi-AdvancedAdvanced
Include Starter Pack (bottle, eye bag, candle) for the second person (180,02 zł) (optional)
Allergies and diet suggestions - second person (optional)
Medical & Health information - second person (optional)
I declare that I am healthy and there are no contraindications to my participation in the trip and that I bear full responsibility for my health. (second person) * (optional)
The undersigned / on behalf of and for other participants of the event, on behalf of whom I make payments for a tourist event, that I have received General Terms and Conditions of Insurance: Consequences of Accidents in the Republic of Poland , approved by Resolution No. 6 / Z / 2015 of 16.02.2015 and amended resolution No. 70 / z / 2015 of the Management Board of SIGNAL IDUNA Polska Towarzystwo Ubezpieczeń SA of 15.12.2015 as amended by Annex No. 1 of 15.12.2015 and Annex No. 2 of 16.04.2020 and the Costs of the Tourist Event Safe Reservations approved by Resolution No. 48 / Z / 2018 of the Management Board of SIGNAL IDUNA Polska TU SA of 30.08. 2018, as amended by Annex No. 1 of 16/04/2020 constituting an attachment to this contract. * (optional)
The Insured agrees that SIGNAL IDUNA may be informed about the names and addresses of healthcare providers (and releases doctors in Poland and abroad from medical confidentiality) by entities providing health services for medical documentation and by the National Health Fund (NFZ) in order to determine the right to benefit from the concluded insurance contract and the amount of this benefit. Consent is valid provided an insurance event occurs. * (optional)
Insured's data will be made available to SIGNAL IDUNA Polska TU S.A. with headquarters at ul. Przyokopowa 31 in Warsaw for the purpose of implementing the insurance contract. Full information regarding data processing by SIGNAL IDUNA Polska TU S.A. located at signal-iduna.pl . (optional)
Include transport from Bydgoszcz (150,00 zł) (optional)
Where did you learn about Yoga Retreatment? (optional) FriendsSocial media - Facebook/InstagramPress & MediaOther
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