UCLA Lake Arrowhead Lodge

Thank you for reserving your spot at the UCLA Lake Arrowhead Wellness Retreat! There is just one more step in order to confirm your registration. Please take a few moments to complete this required registration form. All guests must complete this form no later than 48 hours after receipt.

This information helps us personalize your experience and ensure your comfort during the retreat.

All-Inclusive Rates, Payment & Cancellation Policy

Single Occupancy (1 person): From $1,500 (plus taxes and fees)
Double Occupancy (2 people): From $2,500 (plus taxes and fees)
Additional Participating Guests: From $450 per person, per night (plus taxes and fees)

For pricing inquiries regarding non-participating guests, please contact the Lodge directly.

Full payment is required at the time of booking. No cancellations or modifications after reservation.

Main Contact Information

Name*

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Cell Phone Number During Your Stay*

(For our staff to contact you in case of an emergency.)

Email*

Parking Information

Please list the cars your party will bring.

Car One*

Make/Model

Color

License Plate #

Car Two

Make/Model

Color

License Plate #

Guest Information

Guest One*

First Last

Yoga & Meditation Experience*

Dietary Restrictions (please specify):

Accessibility Accommodations:

What Activities Are You Most Interested In?

Check all that apply.

Guided meditation & mindfulness

Yoga & movement sessions

Nature walks & outdoor reflection

Small-group workshops

Guest Two

First Last

Yoga & Meditation Experience*

Dietary Restrictions (please specify):

Accessibility Accommodations:

What Activities Are You Most Interested In?

Check all that apply.

Guided meditation & mindfulness

Yoga & movement sessions

Nature walks & outdoor reflection

Small-group workshops

Need to add additional guest(s)?

Contact the Lodge directly to inquire about rates for additional participating or non-participating guests.

UCLA Waiver of Liability, Assumption of Risk, Indemnity Agreement, and Photography/Video Notice

ALL participants must read the following and sign the "Acknowledgment of Understanding" below, including parents on behalf of all minor children.**

WAIVER OF LIABILITY: In consideration of being permitted to participate in any way in Water Skiing, Boating, Fishing, Hiking, Mountain Biking, Riflery, Archery, Swimming, Horseback Riding, Paint Ball, Ice Skating, Ropes Course, Softball, Football, Volleyball, Tennis, Basketball, Cardio Kick Boxing, Massage Services, Yoga, Pilates, and any other activity associated with or undertaken at the UCLA Lake Arrowhead Lodge/Family Holiday hereinafter called “The Activity,” I, for myself, my heirs, personal representative or assigns, do hereby release, waive, discharge, and covenant not to sue the Regents of the University of California, its officers, employees, and agents from liability from any and all claims including the negligence of The Regents of the University of California, its officers, employees and agents, resulting in personal injury, accidents, or illnesses (including death) and property loss arising from, but not limited to, participation in The Activity.

ASSUMPTION OF RISKS: Participation in The Activity carries with it certain inherent risks that cannot be eliminated regardless of the care taken to avoid injuries. The specific risks vary from one activity to another, but the risks range from 1) minor injuries such as scratches, bruises, and sprains 2) major injuries such as eye injury or loss of sight, joint or back injuries, heart attacks, and concussions 3) catastrophic injuries including paralysis and death.

INDEMNIFICATION AND HOLD HARMLESS: I also agree to INDEMNIFY AND HOLD The Regents of the University of California HARMLESS from any and all claims, actions, suits, procedures, costs, expenses, damages and liabilities, including attorney’s fees brought as a result of my involvement in The Activity and to reimburse them for any such expenses incurred.

SEVERABILITY: The undersigned further expressly agrees that the foregoing Waiver and Assumption of Risks agreement is intended to be as broad and inclusive as is permitted by the law of the State of California and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.

PHOTOGRAPHY/VIDEO NOTICE: Photographs and/or video will be taken during Family Holiday. I consent to the use of these photographs and/or videos taken of myself while attending Family Holiday for the purpose of advertisements and communications for Family Holiday.

ACKNOWLEDGMENT OF UNDERSTANDING – Participant/Guest 1*

I have read this UCLA Waiver of Liability, Assumption of Risk, Indemnity Agreement, and Photography/Video Notice, fully understand its terms, and understand that I am giving up substantial rights, including my right to sue. I have read the Assumption of Risk and I know, understand, and appreciate these and other risks that are inherent in The Activity. I hereby assert that my participation is voluntary, and I knowingly assume all such risks. I acknowledge that I am signing the Agreement freely and voluntarily and intend by my signature to be the complete and unconditional release of all liability to the greatest extent allowed by law. Checking this box and entering my name and date in the following fields serves as my signature.

I agree to the above Waiver of Liability, Assumption of Risk, Indemnity Agreement, and Photography/Video Notices. My name and date below serve as my signature.

Name of Participant/Guest 1*

First Last

Guest 1 Date Signed*

ACKNOWLEDGMENT OF UNDERSTANDING – Participant/Guest 2*

I agree to the above Waiver of Liability, Assumption of Risk, Indemnity Agreement, and Photography/Video Notices. My name and date below serve as my signature.

Name of Participant/Guest 2*

First Last

Guest 2 Date Signed*

Submit Your Registration

Reminder that all guests must complete this form no later than 48 hours after receipt.

Questions? Contact us at uclalakearrowhead@ha.ucla.edu or call 909-337-2478

Walking the Pathways of Change: Guest Registration

Final Details & Waiver

All-Inclusive Rates, Payment & Cancellation Policy

Main Contact Information

Parking Information

Guest Information

Need to add additional guest(s)?

UCLA Waiver of Liability, Assumption of Risk, Indemnity Agreement, and Photography/Video Notice

I agree to the above Waiver of Liability, Assumption of Risk, Indemnity Agreement, and Photography/Video Notices. My name and date below serve as my signature.

I agree to the above Waiver of Liability, Assumption of Risk, Indemnity Agreement, and Photography/Video Notices. My name and date below serve as my signature.

Submit Your Registration