Rest to Reawaken Retreat 2024
To secure your place, a £100 deposit is required. Once your form has been received, you will be emailed further instructions.
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Full Name *
Your pronouns (if this is very new to you, no worries! Check out this link to inform yourself about the why's & how's: https://www.diversitycenterneo.org/about-us/pronouns/)
Date of Birth
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YYYY
Email address *
Would you like to join my mailing list?
Mobile number
Preferred Accommodation option (https://www.goldengroveretreat.co.uk/room-layouts) 

In main house, each room comes with en-suite bathroom and all shared rooms will be a mix of single/double beds depending on bookings. There are two livings rooms & kitchen. 

Safari lodge has a shared compost toilet & shower, and living room & kitchen. The safari lodge offers a cheaper option for those on lower incomes so please do only choose this option if this applies to you.
 *
If you are joining the retreat with another person/people and would like to be put together in accommodation please put their name below
Is there anything you feel I need to know in terms of access needs or special considerations e.g. physical injuries, mental health conditions, neurodivergence, disability, experiences of trauma? [also happy to talk about this in person/on the phone either before or at the retreat]
Dietary Requirements (meals will be mainly vegan & gluten free or with options) *
In a few words, if this retreat could be a magic wand, what would it give you?
Emergency contact (name, number, relationship to you) *
Any other questions/information/requests to share (e.g. payment plan preferences, bursary interest)?
I am so excited to dive into this journey with you! Much love, Leonie ❤️
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