Hauora Wellness Retreat - Pullman Hotel, Rotorua

Waka Taitonga Ltd t/a ATS Coach is a professional and licensed life coaching business specialised in helping clients achieve their personal, health and wellbeing and business goals by improving competence, capacity and productivity.

Our services covers areas such as holistic health, wellness and fitness coaching, corporate coaching and training, personal improvement coaching, professional speaking and training to encompass healthy hauora.

Join us for of life changing coaching and classes to awaken, invigorate and motivate you to the next level of your life journey.

Registration / Medical / Investment / T&C's

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* 1. Your personal details:

Your full name:

Address:

Mobile phone:

Email address:

Occupation:

How long have you been in this role:

Date of birth:

Social media user name eg. Facebook, Instragram:

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* 2. Emergency details:

Their name:

Their contact number:

Their relationship with you:

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* 3. Medical details:

Your Doctors/GP name:

Their contact number:

Any medications you are currently taking?

Any medical treatments you are currently receiving?

Any underlying medical conditions you think we should know about?

Any dietary requirements we should know about?

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* 4. Why have you decided to come to the Hauora Wellness Retreat for coaching?

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* 5. What areas of coaching would you like to receive? Eg. Health and Wellness, Lifestyle, Nutrition, NLP, Hypnotherapy, Business, Career etc.

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* 6. What would you like to achieve as a result of attending the Retreat?

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* 7. ATS Coach will make every effort to ensure the retreat runs smoothly and to offer you any information or service we are able to provide. To enable us to offer a high-quality service and to ensure the satisfaction of all our clients, the following terms and conditions are applicable to your retreat.

Please read these carefully and if you have any questions please contact our client manager - kacey@atscoach.com. These terms and conditions must be agreed upon to confirm your placement at the retreat.

Please tick to agree

Work on my goals and make them a priority in my life and be committed to being straight-up and expressing myself honestly.

Participate in this coaching/training through my own free will and accept complete responsibility for my wellbeing at all times.

Understand that coaching is not a substitute for recognised medical treatment, and I acknowledge that I am physically and psychologically fit to participate in the work.

Seek professional guidance for legal, medical, financial, business, mental health, or other matters with the appropriate/ credentialed provider and all decisions in these areas are exclusively my responsibility.

Understand that while my coach may be able to show me a door, they cannot walk through it for me. I understand I am responsible for creating my own decisions and results.

In the event I have a concern or wish to discontinue sessions for any reason, I agree to discuss this with my coach (and I can trust that they will agree to discuss it with me). I will share this as soon as I sense it and work with them to adjust how we proceed in appropriate ways. If for some reason circumstances change and continuation is not possible, our coaching agreement can be paused and reviewed.

Understand these sessions are confidential, and that the only typical exception to this is if my coach ever feels I may be a danger to myself or others, and they will do their best to notify me if they feel this requires action on their part.

Understand my coach will collect personal information from me verbally and in writing and make their own notes, and that I can have access to this information at any time by request. I acknowledge my courage and wisdom in engaging a coach to assist me to get where I want to go.

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* 8. Booking confirmation

To confirm your booking you must complete this from and choose one of the two following investment options below.

Any additional charges by clients incurred while staying at the hotel must be paid upon check-out.

Any charges made by third parties on your behalf will be passed on.

Alcohol is not included in any package (except for the welcome drink and dinner wine on the last night) and any alcohol consumed must be paid for at the cash bar or room charge and settled upon check-out.

No discount cards apply for retreats held at any Pullman Hotel.

Investment

Option 1: Single person attending retreat with accommodation: $2899
Early bird special: $2599
Option 1a: Partner sharing accommodation/meals but not attending retreat + $399

Option 2: Couples attending retreat with accommodation: $4898
Early bird special: $4598

Option 3: Two friends attending retreat with shared accommodation/2 queen beds: $4879
Early bird special: $4579

Early bird specials end 11:59pm Saturday 31 October.
All prices exclude GST.

Direct credit
Waka Taitonga Ltd
PO Box 801, Rotorua
Kiwibank # 38-9022-0158950-00
Reference: Option 1, 1a, 2 or 3

1. Full payment of your Retreat package via direct credit or credit card. An invoice will be supplied.

2. 25% deposit of your Retreat package, then 3 easy payments of 25% of the package. NB. If using the 4-payments plan, full payment must be received 7 days prior to the retreat. Invoices will be supplied.

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* 9. Retreat Cancellation

All cancellations must be received in writing to admin@atscoach.com and the following terms are applicable;

1) More than 29 days prior to the retreat - 100% refund
2) 22-28 days prior to retreat - 75% refund
3) 15-21 days prior to retreat - 50% refund
4) 8-14 days prior to retreat - 25% refund
4) 7 days prior to retreat - No refund.

We do not offer credit for arriving late or leaving early.
There is no exception to cancellation policy including weather or personal emergencies, flight cancellations or delays. If we must cancel a retreat, there will be 100% refund on all funds received to date. Thank you for understanding and respecting the cancellation policy.

I agree.

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* 10. Release of Liability

You must notify us during the process of booking of any medical conditions, pregnancy, disability or any other mental and or physical condition which may affect fitness to travel and/or any medical condition. This includes any symptoms of Covid-19 or our suspected exposure to the virus that causes Covid-19. Failure to notify us of such a medical condition may result in your being refused travel, in which case the client is bound by the cancellation terms as laid out here.

In consideration of the services provided by ATS Coach and our respective agents, facilitators, coaches, trainers, contractors, volunteers (collectively the “Released Parties”), in connection with participants’ involvement in the Hauora Wellness Retreat programme (“the programme”.)

Some of the risks associated with the activities on the programme include, but are not limited to, dehydration, slipping and falling, sprains and strains, and other mild or serious injuries and conditions.

'I have been given sufficient opportunity to discuss the programme and its risks with a medical practitioner. I have submitted, to the best of my knowledge, health information to ATS Coach and represent that I am free of medical or physical conditions that might create undue risk, or where such conditions exist, undertake the programme, having regard for those same conditions, at my own risk.'

‘Where I am unsure, I have highlighted those conditions to ATS Coach, I assume and accept full responsibility and assume the risk of and for any injury, death, loss of personal property, and/or expenses that may result from my participation in this programme, and I further agree to indemnify and hold harmless the Released Parties, and to the fullest extent of the law, from any and all claims, damages, losses, or liability that may result from my participation in the programme.'

'I understand that certain elements of the programme are low-impact physical activity of walking and static stretching and that I should only participate if I am free of medical or physical conditions which might create undue risk to myself or other participants. I acknowledge that I am free from such conditions and I am aware that these activities involve potential for injury to myself and/or my property. To the extent that I participate in such activities, I do so voluntarily, and I assume full responsibility for any loss, and/or inconvenience resulting from my participation. I further agree to indemnify and hold harmless the Released Parties from any and all liability incurred as a result of my participation. I also agree that this release of liability shall serve as a complete legal release and assumption of risk from others acting on my behalf.'

I agree.

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* 11. Food Allergies

An environment free from allergens, including but not limited to food allergens, cannot be guaranteed by ATS Coach. While reasonable efforts will be made to serve food not containing allergens as ingredients, ATS Coach contractors prepare meals in a facility that uses nuts, soy, wheat, and other known allergens. Therefore, the Released Parties cannot guarantee that any particular food product is free of all traced of any particular allergen, that consumption of a food product, where allergies exist, will not result in some form of allergic reaction, or that the participant will not come into contact with any allergens while on the programme.

The undersigned acknowledges that agrees that he/she is aware of such risks and that participation in the programme will expose the participant to food, activities and persons that may result in exposure to allergens and injury, in that regard, and assuming such risks, the undersigned hereby fully releases and discharges the Released Parties from any and all liability and/or responsibility to the participant, the undersigned, or any third party for death and/or injuries to the participant, and/or any direct, indirect, punitive, incidental, or any damages that arise out of or relate to the participant’s participation in the programme and/or exposure to food allergens.

'I have made ATS Coach aware of all allergies, food or otherwise, which may affect my ability to consume certain foods and/or undertake certain activities on the programme.'

I agree.

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* 12. Damage to property

The release of liability also covers damage to the property of the participant, ATS Coach, or other contractors’ property by the participant, either intentionally, or unintentionally. The participant agrees that they discharge ATS Coach, its owners, and principals against any charges for damage incurred or damage to the property of other participants, contractors, or the Pullman Hotel by the participant, either intentionally or unintentionally.

I agree

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* 13. Photo/Video release

One of the best ways to communicate the effectiveness of our programmes is through photographs, video, and testimonials from/of our programme participants. We may use these in our brochures, newsletters, social media and on our website.

'All photographs/videos taken of me or other material, excluding personal information and health history, shall become property of and may be used by ATS Coach at its discretion, for any publicity or marketing purposes, and I hereby consent and authorise such use without restriction.’

I agree

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* 14. Travel and insurance

ATS Coach retreats do not include national or international airfare. You are responsible for your airfare and/or travel to Rotorua.

ATS Coach highly recommends you obtain travel medical insurance. This insurance must cover personal injury and emergency medical expenses. It is strongly recommended the coverage be extended to include cancellation, curtailment, and all other expenses that might arise as a result of loss, damage, injury, delay or inconvenience that may occur during travel.

I agree

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* 15. Additional Information:

Do you require airport transfers (FOC):

Do you require valet parking for your vehicle ($25 per 24 hours payable to the Pullman):

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* 16. Finally, how did you hear about the Hauora Wellness Retreat?

By transacting with ATS COACH you agree to the above terms and conditions and releases of liability.

Once we receive this form we will email the invoice/receipt.

Thank you - we look forward to serving you.