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Ibiza March 2022 Retreat Participants
Please Answer The Questions Below So We Can Know A Little Bit More About You :)
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Your Full Name
*
Your answer
Email Address (please use the same one used for registration to the retreat)
*
Your answer
Your WhatsApp Phone Number (VERY IMPORTANT AS NIRAJ WILL CONTACT YOU HERE)
*
Your answer
Gender
Male
Female
Other:
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Date Of Birth
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DD
/
YYYY
What is your T-Shirt Size?
XS
S
M
L
XL
XXL
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Please let us know what date and time you plan to arrive to Ibiza (if you have not planned your travels yet please email us at
support@somabreath.com
once you have planned this)?
Your answer
Please let us know what date and time you plan to leave Ibiza?
Your answer
Do You have any health conditions that you feel we should know about?
Your answer
Do you have any food allergies or dietary requirements that we should know of?
Your answer
What is your current profession?
Your answer
Are you trained in any health & wellness modalities or currently working in the personal development field? (yoga, reiki, naturopath, etc)
Yes
No
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If You answered yes above, please specify which modalities?
Your answer
What do you wish to get out of your experience during the Awakening SOMA Retreat and/or In Person Instructor Training in Ibiza?
Your answer
What Dosha type you got on your Dosha Quiz?
Your answer
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