Roots & Wings Retreat 2022
To secure your place, a £100 deposit is required. Once your form has been received, you will be emailed further instructions.
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Full Name *
Your pronouns (if this is very new to you, no worries! Check out this link to inform yourself about the why's & how's: https://www.diversitycenterneo.org/about-us/pronouns/)
Date of Birth
MM
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DD
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YYYY
Email address *
Mobile number
Preferred Accommodation option (price listed per person) *
If you are joining the retreat with another person/people and would like to be put together in accommodation please put their name below
Dietary Requirements (meals will be mainly vegan & gluten free or with options) *
In a few words, if this retreat could be a magic wand, what would it give you?
Emergency contact (name, number, relationship to you) *
Please provide a brief outline of your (if any) aerial experience. It is totally fine if you've never done it before! It will just help us set up the workshop for everyone.
Any other questions/information to share (e.g. payment plan preferences, health conditions/injuries)?
Would you like to join my mailing list to keep up to date with my offerings?
I am so excited to dive into this journey with you! Much love, Leonie ❤️
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