BUDOKON beginnings immersion RETREAT

NAME

First Name

Last Name

ALLERGIES + MEDICATION: List any allergies (including food) and medication we need to be aware of.

ARRIVAL: Date + Time + Flight Number

DEPARTURE: Date + Time + Flight Number

APPLICATION: Have you filled out the application?

YES

No, not yet.

WAIVER: Have you e-signed the waiver?

YES

No, not yet.

QUESTIONS? Please add any questions you have regarding logistics.