The Radical Act of Stillness 1st

Name

First NameMiddle NameLast Name

Date of Birth

Date

Phone Number

Area CodePhone Number

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Student E-mail

Why are you seeking Cranio Sacral Therapy?

Which accommodation would you like to choose?

Queen Room - private single occupancy & private bathroom €1550Room 2 for 4 people sharing with en suite bathroom €1200 per personRoom 3 for two people - sharing bathroom with Rm 4 €1275 ppRoom 4 for two people - sharing bathroom with Rm 3 €1,125 pp

Have you worked with Julie before? If so please give details

Please share a few words about why you wish to join the retreat.

Please tell us about any previous experience of yoga or meditation you have had?

Please tell us what 3 things you think may be challenging for you .

Please tell us what expectations you have for the retreat.

Do you have any past or present injuries or medical conditions, sleep or eating issues, health or mental health issues or depression?

Is there anything else you would like us to know ?

There will be vegan/ vegetarian food throughout the retreat. Please let us know here any food allergies or food requirements that you have. It is essential we know this in advance of the retreat for food to be prepared .

I agree to keep all communications during the retreat confidential ; including also materials shared by the teacher.

I agree

I understand and agree to be present from the retreat start time until the end time of the retreat.

I agree

For the retreat experience we require that participants do not smoke or drink alcohol or take any other stimulants during the retreat.

I agree

I agree that I have and maintain full responsibility for my physical and mental health and well being during the retreat.

I agree

I agree to pay a 50% deposit to book my place. Please see booking conditions below.

I agree

I have read and agree to the cancellation policy of 100% refund of the full amount 61 days before the start date. No refund of the full amount 60 or less days before . In the instance you wish to cancel, your place can be transferred to someone else you know who wishes to take your place , upon your organisation for a €35 admin fee. A refund will only be issued if the retreat is fully booked and someone else can fill your space. A refund in this case minus €50 cancellation charge . Any monies owed in this case will be paid to you one month after the retreat end date. Please make sure you take out insurance your own travel insurance to cover you in the event of any need to cancel. Once the retreat has commenced , no refund or part refund or unused portion of your retreat will be repaid in the event of cancellation by you. In the very unlikely event that the retreat is cancelled by either party , there will be no refund or compensation available from us for your flight costs, transfers and other associated costs. Please ensure that you take out travel insurance to cover curtailment or cancellation including your own cover for COVID.

I agree to the booking and cancellation conditions.

The Radical Act of Stillness 1st - 6th June 2024 Menorca