Positively Healthy Wellness Retreat Form

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What's includedEveything listed is included in the package. Dinner, flights, passport is not included.
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ActivitiesThese are some of the activities we will be doing.
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Ready to join? Continue to registration.
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Participant's Information
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Name* This field is required.
First Name
Last Name
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Birth Date* This field is required.We just want to make sure you are 21 and up.
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Participant's Phone Number* This field is required.Once you join we will add you to a WhatsApp group for monthly coaching.
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Address* This field is required.
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eSwatini
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Country
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Retreat Date. Create your own or join a retreat.* This field is required.
Please Select
Please Select
I want to create a custom retreat date with my 5-10 friends/family
I want to join an existing Sun and Moon retreat to meet new friends
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T-Shirt Size* This field is required.
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Small
Medium
Large
XLarge
XXLarge
XXXLarge
.
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Emergency Information
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Emergency Contact's Name* This field is required.
First Name
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Relationship* This field is required.Emergency Contact
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Mother
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Phone Number* This field is required.Emergency Contact
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Food Allergies
Dairy
Gluten
Vegan
Vegetarian
Soy
Nuts
Egg
Shellfish
other
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I wish to participate in the Positively Healthy Sun and Moon Wellness Retreat that will provide fun, relaxing and light physical activities. I understand that there are risks inherent in any physical activity such as HIIT, yoga, swimming, kayaking, etc. and I accept full responsibility for my own health and safety during my participation. I understand the wellness coaches and fitness instructors do not replace instruction from my medical doctor or therapist. I agree my participation is fully voluntary and I can opt out of any activity. I will not hold Positively Healthy, Sun and Moon Exuma, or its owners or employees, whether salaried or under contract, for any harm that may result in my participation in this retreat.
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Wellness Deposit:* This field is required.Deposit is non-refundable. Remaining balance can be paid in installments and is due 1 month before arrival date.
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ORDER SUMMARY
Total costUSD
Private King Bed Suite (1 person), Retreat House with pool, by waterThis option includes 6 day/ 5 night stay at the house with a private king bed and bath. Includes fitness and wellness activities, beach trips, boat excursion, breakfast and lunch all days, transportation to and from airport and excursions, and swag bag. Total cost is $3000 per person. After deposit is paid we will contact you to confirm all details before sending final invoice. Flights not included.
$300.00Edit
Back
Shared Suite (1 person), Retreat House with pool, by water -Full Bed This option includes 6 day/ 5 night stay at the house with a shared room. You will sleep in the full bed sharing a room with another. Includes fitness and wellness activities, beach trips, boat excursion, breakfast and lunch all days, transportation to and from airport and excursions, and swag bag. Total cost is $2800 per person. After deposit is paid we will contact you to confirm all details before sending final invoice. Flights not included.
$300.00Edit
Back
Shared King Bed Suite (2 people), Retreat House with pool, by water This option for 2 people includes 6 day/ 5 night stay at the house with a private king bed and bath, best for a couple. Includes fitness and wellness activities, beach trips, boat excursion, breakfast and lunch all days, transportation to and from airport and excursions, and swag bag. Total cost is $2800 per person. If traveling as a couple. After deposit is paid we will contact you to confirm all details before sending final invoice. Flights not included.
$600.00Edit
Back
Shared Suite (1 person), Retreat House with Pool House, by water -Twin Bed This option includes 6 day/ 5 night stay at the house with a shared room. You will sleep in the twin bed sharing a room with another. Includes fitness and wellness activities, beach trips, boat excursion, breakfast and lunch all days, transportation to and from airport and excursions, and swag bag. Total cost is $2500 per person. After deposit is paid we will contact you to confirm all details before sending final invoice. Flights not included.
$300.00Edit
Back
Private Suite (1 person)-Waterview House- Queen BedThis option includes 6 day/ 5 night stay at the house with a private room. Includes fitness and wellness activities, beach trips, boat excursion, breakfast and lunch all days, transportation to and from airport and excursions, and swag bag. Total cost is $3000 per person. After deposit is paid we will contact you to confirm all details before sending final invoice. Flights not included.
$300.00Edit
Back
Private Suite (1 person)-Waterview House- King Bed This option includes 6 day/ 5 night stay at the house with a private room. Includes fitness and wellness activities, beach trips, boat excursion, breakfast and lunch all days, transportation to and from airport and excursions, and swag bag. Total cost is $3000 per person. After deposit is paid we will contact you to confirm all details before sending final invoice. Flights not included.
$300.00Edit
Back
Shared Suite (2 people) Waterview House -King BedThis option includes 6 day/ 5 night stay at the house with a private room. Best for a couple. Includes fitness and wellness activities, beach trips, boat excursion, breakfast and lunch all days, transportation to and from airport and excursions, and swag bag. Total cost is $2800 per person. After deposit is paid we will contact you to confirm all details before sending final invoice. Flights not included.
$600.00Edit
Back
Semi Private Suite ( 1 person) Waterview House -Queen Bed This option includes 6 day/ 5 night stay at the house with a private room. This room is a queen bed in a partitioned off area. Includes fitness and wellness activities, beach trips, boat excursion, breakfast and lunch all days, transportation to and from airport and excursions, and swag bag. Total cost is $2800 per person. After deposit is paid we will contact you to confirm all details before sending final invoice. Flights not included.
$300.00Edit
Back
Total cost $0.00
Payment Methods
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Apple Pay
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Afterpay
After submitting the form, you will be redirected to the Afterpay to complete the payment process.
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Confirmation BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
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