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Deep Rest Retreat Registration Form
13th - 16th Oct or 30th March - 2nd April
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* Indicates required question
Email
*
Your email
What is your name?
*
Your answer
What is your date of birth
*
Your answer
What is your phone number?
*
Your answer
What is your best email address?
*
Your answer
What is your home address?
*
Your answer
Which retreat date are you registering for?
*
Choose
13th - 16th October
30th March - 2nd April
What do you currently do for exercise/body movement?
*
Your answer
What would you like to get out of this retreat?
*
Stillness
Relaxation
Stress management
Relief from neck or back pain
Connection
Movement
Relief from Anxiety
Healing from trauma
Other:
Required
What would you like to get out of this retreat?
*
Your answer
Please let us know any food requirements and intolerances:
*
Your answer
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