Fastform.html

Forest Fast Registration Form

Please print out, complete, sign and return
to :

Erik Adams
6 Clifford St
South Golden Beach
2483 NSW

Name :	Ph :
Address : Email :
Date of fast you would like to attend :
Have you any current health problems? If yes, please specify :

Note: 3 day fasts are generally fine for most people. However, in some cases of serious medical conditions or eating disorders it may may not be best. If you have a serious condition, please consult your doctor or health practitioner as to the appropriateness of fasting.

I would like to ( circle one ) :	Camp / Sleep in dormitory
I would like to book ..... massage/s (please note: massages cost extra)	for duration ...............hrs/mins

I fast and take part in this forest fast at my own risk. I am totally responsible for anything that happens to me as a result of fasting or that I incur through my own actions or misadventure during the retreat.

Signed..................................................................Date............................

NOTE : If for any reason you are unable to attend please infom us as soon as you can as we have limited numbers and often have a waiting list.