Nourish Retreat - Application Form

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This application is designed to get to know you better prior to booking and to ensure I am able to meet your needs for attending the retreat. Upon review I will email you payment information.

Nourish Retreat Grenada
True Blue Bay Boutique Resort
Thursday November 30th to Monday December 4th 2023

Shared & private accommodation available. Room availability is limited so the sooner you pay your $400 deposit, the sooner you can secure your preferred room. Balance due 31st October, 2023.

Please review our full Terms & Conditions before completing the form.

Contact:

Malaika at hello@malaikabsl.com Tel/ Text/WhatsApp: 1-473-410-5271

Full Name *

Phone Number *

Address *

Email Address *

Preferred mode of communication *

Phone Call

Other:

Please describe any health-related conditions that you have (or have had in the past) that you need to be mindful of when you practice yoga and/or undertake other activities such as walking for more than 10 minutes, walking uphill or any other 'trigger' activity you are aware of

eg. bone, muscle, ligament, tendon problems or injury; heart, lung, high blood pressure, back/neck pain or injury, epileptic, diabetic or thyroid conditions, pregnancy.

Please detail any access needs *

Please detail any dietary needs and/or allergies *

Emergency Contact (1) Name & Telephone Number, please include all international and area codes *

Emergency Contact (2) Name & Telephone Number, please include all international and area codes *

How did you hear about the retreat? *

Please be specific

What do you hope to get from the Nourish retreat? *

Members of my Patreon Community receive an extra $100 discount. Are you a member? *

Yes

I'm interested, send me more info

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