Nourish Retreat 2024 - Application Form
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
Tuesday December 3rd to Monday December 9th 2024

Shared & private accommodation available. Room availability is limited so the sooner you pay your $400 deposit, the sooner you can secure your preferred room. Deposit due by May 31st to secure Early Bird Rates. Balance due 8th October, 2024.

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

Contact:
Malaika at hello@malaikabsl.com  Mobile/WhatsApp/iMessage: 1-473-410-5271
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Full Name *
Phone Number *
Address *
Email Address *
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 virtual community receive an extra $30 discount. Are you a member?  *
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