Rewilding Retreat Name * First Name Last Name Email * Phone (###) ### #### Date of Birth * MM DD YYYY Would you prefer a single or twin room? Single Twin Not sure yet Do you have any medical conditions? * Any recent injuries or conditions that will impact your ability to practice? * - please note if you are in your 1st trimester it is not recommended to practice yoga Do you have any Allergies? * Yes Not What is your level of yoga practice? * Regular practice, feel confident Dip in and out New to yoga Never practiced Have you been on retreat before? Yes No Unsure Where are you travelling from? Any other questions? Thank you for filling out this form. I will be in touch if there is anything we need to discuss in more detail.
