4-Day Immersive Mindfulness & Wellness Experience @ Kohler, WI (2/22/24

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4-Day Immersive Mindfulness & Wellness Experience @ Kohler, WI (2/22/24 - 2/25/24)

THIS RETREAT IS POSTPONED.

For questions please email motherlotuslove@gmail.com.

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To register and save your spot, please complete and submit this form with your $500 non-refundable deposit. Space is limited. If you have any specific questions, please email motherlotuslove@gmail.com. We look forward to hosting you!

Full Name *

Email *

Phone Number *

Tell me a little about you. Why are you pulled to this retreat? What do you want to get out of this experience? *

Choose your lodging:

SINGLE - 1 King Bed: $1875 per person

SHARED - 2 Double Beds: $1725 per person

SHARED - 1 King Bed: $1500 per person

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If you are sharing a room, please list their name here. (They will need to fill out this form as well.)

Please list any food allergies, food aversions and/or dietary restrictions? (e.g. gluten-free, aversion to cinnamon, vegetarian etc.) *

Yoga experience *

I have no experience.

I'm a beginner.

I've practiced before but have lost touch.

I practice all the time.

Meditation experience *

I have no experience.

I'm a beginner.

I've practiced before but have lost touch.

I meditate all the time.

Have you ever attended a wellness/yoga/meditation retreat before? *

Yes

Are you interested in booking a service at the Kohler Spa? (cost is not covered in the retreat fee) *

Yes

Not sure

Completing this form does NOT reserve your spot. Please send a $500 non-refundable deposit to complete your reservation.

Payment Options:

Venmo: maureenz0304

Zelle: motherlotuslove@gmail.com

Checks: please make checks payable to Mother Lotus LLC and send to 546 Welch Circle, Lake Barrington, IL 60010

My payment will be sent via: *

Venmo

Zelle

Check

Other:

How did you hear about this retreat? *

Other comments/questions:

NOTE - By signing up, we will automatically add you to our mailing list so you can be updated on upcoming events and offerings. If you do NOT want to be included on the mailing list, please email motherlotuslove@gmail.com.

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