Name *

First Name

Last Name

Phone *

(###)

###

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How would you like the retreat to feel overall? *

Select as many as apply

Calming, cocooning and grounding, with a focus on resting and rejuvenating

Energising and stimulating, with a focus on mind-body fitness

Inspiring and centering, with a focus on self-discovery and personal growth

Other - please specify

How would you like to feel on the conclusion of the retreat? *

Select as many as apply

Restored, recharged and renewed

Energised and full of vitality

Detoxed and balanced in both mind and body

Focused and determined

All of the above