Full Name*
Email*
Phone*
Where are you based?
What is your intention for the retreat / what are you most excited about experiencing during this retreat?
Are you an entrepreneur? If so, what is your business/industry? If not, what do you currently do for work?
Do you have any allergies or dietary requirements we should know about? (All food will be vegan, gluten-free, refined-sugar free, mainly organic and totally delicious).
Are you looking to have your own room or to share one? (We can guarantee a shared room when you attend the retreat with someone you wish to share room with, but can't always guarantee we'll be able to pair you up with someone ourselves).
Private Room
Shared Room
If sharing room with someone you know - who are you sharing with? (Full Name) Please note that shared accommodation is only confirmed once both parties complete their deposit.
Are you suffering from any addiction or mental challenges we should know about? (Please be specific)
Instagram (we would just like to connect with you over there, if you use it x)
How did you hear about the retreat?
Anything else we'd need to know or you feel to share? :)
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