Registration Form

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Registration Form - Step 1

This form is to register for the Retreat : Embodied Feminine Wisdom, from 8 - 10 September 2023, with Georgina and Marija.

This form is confidential and will only be read by Georgina and Marija. We ask these questions in order to take care of you and prepare a programme that is adapted to your needs as best we can.

Once we receive your form we will be in touch to confirm how to pay and prepare for the retreat. If we don't know you yet we may have a call to explore if this is the right retreat for you.

Email *

First Name *

Last Name *

Telephone *

What is your deep motivation to participate? What would you love to get out of this experience? *

Please briefly name or outline any other self awareness / personal development processes you have undertaken? *

Do you have a regular embodiment practice and / or spiritual practice ? (e.g. yoga, dance, meditation, qi gong) *

Do you have any physical ailments or injuries at the moment? *

Are there any significant life events (past or current) that may impact your behaviour patterns / reactions / emotions / relating with others that we should know about (trauma, death, illness, separation, shock, addictions, abuse...) to support you and the group field ? *

Please inform us if you have or have had any significant mental health challenges in your life. Do you have any important addictions? We ask this in order to take care of you. *

Do you have any medical conditions or take any medications that we should be aware of? (for instance anti-depressants can affect normal emotional response) *

Do you have any food allergies / intolerance / requests? *

Which room type do you prefer? (in brackets price for lodging not including facilitation) Depends on availability.
*

Four bed room (CHF 355) (2 beds available)

Twin bed room (CHF 375) (Full)

Single - small (CHF 375) (Full)

Single - large (CHF 435) (1 available)

Single Maisonette (CHF 435) (1 available)

Anything else we should know about? Or do you have any questions for us?

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