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Wilderness Wellness Retreat Info June 2025
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 upgrade to a private room.
Shared all-gendered dorm
Upgrade to private room
Upgrade to private room, sharing with another person(s)
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 $200 deposit via e-transfer? // Anything else you'd like to share?