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  • Authentic Yoga Retreats

    in Paradise Burren Geopark

    Kinvara, Co. Galway
    on West coast of Ireland

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    Dear Yoga Class Participant,
    Please complete our Health & Safety form below to ensure nobody coming in to the centre has a risk of being infected with Covid-19

    And also so that we can effectively ensure that the centre remains a very safe environment.

    Please ensure that you complete this form at least 5 days before you arrive for classes at the Burren Yoga Retreat.





    In the past 21 days, have you

    • been in close contact with anybody who is infected or at high risk of being infected with Covid 19
      YesNo

    • had any possible symptoms including cough, high temperature (above 38 degrees Celsius), loss of taste or smell, or any flu like symptoms
      YesNo

    • travelled in a plane
      YesNo

    Please confirm that you will

    • agree to your temperature being tested before you enter the retreat centre
      YesNo

    • wash your hands well with soap and water for minimum 20 seconds when you arrive at the centre and also frequently each day
      YesNo

    • agree to follow safe coughing/sneezing etiquette
      • Turn your head away from others and physically distance as much as possible
      • Use a tissue to cover your nose and mouth
        • No tissues? Cough/sneeze into elbow
      • Do not touch surfaces with your hand after this and use tissue or clothing to open door handle or ask staff to assist
      • Clean your hands after discarding tissue using soap and water for 20 seconds or alcohol gel for at least 15 seconds
      • If a fit of coughing or sneezing that you go outdoors immediately

      YesNo

    • agree to be mindful of social distancing and keeping a safe distance from other class participants and teacher

    • adhere to any social distancing guidelines given by any of our staff
      YesNo

    • agree to wear a mask or visor if requested to do so by any of our staff
      YesNo

    • remain respectful of individual preferences in relation of Covid 19 whether this be wearing of a mask, social distancing or other precautions which make people feel safe
      YesNo

    Please type your full name below to act as a signature of your agreement that all the details you have completed are correct.

    Press ‘Send’

    Through awareness and care we wish to ensure that your class with us will be very safe, and also a very positive experience and we thank you for your support in ensuring that we all have a safe time at the centre.

    If you have any questions or concerns please feel free to contact me by phone or email. Both are listed in the footer below.

    We look forward to welcoming you here soon.