Wilderness Wellness Retreat Info October 2024
1.
First and last name
2.
Email Address and Phone Number
3.
Are you planning to share a private room with someone? Include their name and email address below.
4.
Choose the room you would like. Shared all-gendered dorm, or private room.
5.
What are your dietary restrictions? Do you have any dietary allergies?
6.
Do you have any physical injuries?
7.
Emergency contact name, email & phone number:
8.
What are your transportation plans? Will you be parking on site?
9.
Do you have your own yoga mat and blocks?
10.
Have you sent the $150 deposit via e-transfer?