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RECLAIM YOURSELF AUTUMN RETREAT
Welcome. Thank you for choosing you. A wonderful opportunity to "reclaim yourself" through yoga, sound, skincare, nature and nourishment.
This form will help gather essential details to ensure your experience is seamless. Please take a few moments to complete it, and feel free to reach out with any questions. I will be more than happy to take on a WhatsApp call with you. In love and gratitude, always Vanessa x
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* Indicates required question
FULL NAME
Your answer
DATE OF BIRTH
*
MM
/
DD
/
YYYY
EMAIL ADDRESS
*
Your answer
YOGA EXPERIENCE, IF ANY / HOW LONG HAVE YOU BEEN PRACTICING YOGA
*
Your answer
PLEASE LIST ANY INJURIES/ LIMITATIONS
Your answer
PLEASE LIST ANY FOOD ALLERGIES AND OR DIETARY REQUIREMENTS
Your answer
WHAT IS YOU ROOM OPTION
*
Private Room with En Suite, 525 euro / Early Bird Price 475 euro book by 16/9/2025
Shared, Twin Room with En Suite, 425 euro / Early bird price 380 euro book by 16/9/2025
Required
Sleep habits for those sharing
*
snore
light sleeper
night owl
prefer quiet
bathroom trips
ARE YOU READY TO PAY YOUR 150 euro NON REFUNDABLE DEPOSIT
*
YES
NO
I would like to schedule a phone call
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