Turn a New Leaf!

Join Us for Fall Foliage Retreat in the Gorgeous White Mountains of New Hampshire!

When: 2 pm (or after) Friday, Oct. 24 2025 to 11:30 am Sunday, Oct.26 2025.
Where: Bartlett Village House, Bartlett, NH

Choose Your Accommodations: All rates are per person

Private Room with King or Queen Bed and Ensuite private bathroom (limited to 2 rooms). $989*
Private Room with King or Queen Bed and Shared bathroom (limited to 2 rooms). $889*
Double Room for 2 people with 2 beds and shared bathroom. Can be booked with a friend or travel companion OR can book and share with a friend you don't know yet (of the same gender). $789*

2 payment options available*:

- Pay in full for the lowest price.

- Pay a $400 deposit and the remaining balance (+$50 additional fee) is due on or before September 1.

Deposits of $400 or payment in full is required to reserve your spot/room of choice. If paying a deposit, you will receive an invoice for your remaining balance in August and final payments are due on or before September 1. All rates above are EARLY BIRD and these rates all increase on May 1, 2025.

REFUND POLICY: Deposits are non-refundable. If you cancel on or before July 1 and have paid in full, you will receive a refund minus your $400 deposit and a $50 service fee. There are no refunds for payments after July 1. If you must cancel, you are welcome to sell your spot and transfer it to someone else. This must be done prior to October 1. We also recommend travel insurance in case of an emergency.

*If you would like a different customized payment plan, please contact Robyn at robyn@newenglandbreathwork.com or 781-883-5771. Our aim is to make this retreat accessible to you.

Attendee Information

Name*

First NameLast Name

Birth Date*

MonthDayYear

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

E-mail*

Phone Number*

Area CodePhone Number

Alternative Number*

Area CodePhone Number

Emergency Information

Emergency Contact's Name*

First NameLast Name

Relationship*

Phone Number*

Area CodePhone Number

Alt. Phone Number

Area CodePhone Number

It helps us to know ahead of time if you have any health conditions. Please elaborate here

Retreat Participation Agreement

While we make every effort to provide a safe and pleasant environment for every retreat participant, we do require that this participation agreement be read, filled out, signed, and dated by all who wish to participate in retreat activities.

With full knowledge, I accept full responsibility for any injury or accident that may occur to myself while participating in retreat activities. These activities may include, but are not limited to, yoga, walking, hiking, meditation, pranayama and any other possible activities.

Although we have taken reasonable steps to provide guidance and skilled instructors so that you can participate in activities which you may or may not be skilled in, we do remind you that these activities are not without risk. Also, certain risks cannot be eliminated due to our rural setting. The same elements that contribute to the character of these activities can be the cause of accidental injury or illness or, in exteme cases, permanent trauma or death.

I, on behalf of myself, I agree to release and hold harmless retreat leaders The Write Move LLC (parent to New England Breathwork), Robyn Parets and Jill Coletti and Bartlett Village for any and all claims for injuries, causes of action, or liability related to my participation in any activity occurring during the retreat.

Should The Write Move LLC, Robyn Parets, Jill Coletti or anyone acting on their behalf be required to incur attorney's fees and costs to enforce this agreement, I agree to indemnify and hold them harmless for all such fees and cost.

By signing this document, I acknowledge that if I am hurt or property damaged during my participation in these activities, I may be found by court of law to have waived any right to maintain a lawsuit against Robyn Parets and Jill Coletti on the basis of any claim which has been released herein.

By signing this document, I also acknowledge that photos/videos may be taken during the retreat and I agree to allow retreat leaders to share media with participants and to optionally use photos/videos for promotional purposes. There will be NO professional videos or photos so that you can truly feel comfortable being in a safe space.

I have had sufficient opportunity to read this entire document. I have read and understood it, and agree to be bound to its terms.

Please tell us whether you have any Allergies or Other Allergic Reactions, and explain what these are. If none, please enter 'none':*

Dietary Needs/Restrictions. Please let us know if you need or prefer gluten free, dairy free or vegetarian meals, as well as any other dietary needs. If none, please enter 'none'.*

Activity Restrictions. Please explain any restrictions. If none, please enter 'none':*

Medication Taken Regularly:

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.

Signature*

Are you coming with a friend who you'd like to share a room with? If so, please tell us your friend's name

Your friend's full name

Choose your accommodation option and whether you'd like to pay in full or make a deposit to hold your room!

Private Room with King or Queen bed & Ensuite Bathroom $989.00

Accommodations will be in a beautiful private room with a private ensuite bathroom. If you would like to bring someone to share the room/bed, please contact us and we will send you a invoice with special pricing (the rate to share with someone is $742 per person). Rates include taxes and booking fees.

Deposit for Private Room with Ensuite Bathroom$400.00

The total cost for the 2-payment option is $1039. The remaining $639 is due on or before September 1, 2025 and we will send you an payment invoice on or before that date. Rates include taxes and booking fees.

Private Room with King or Queen bed and Shared Bathroom$889.00

Accommodations will be in a beautiful private room with a bathroom, shared with one other room. If you would like to bring someone to share the room/bed, please contact us and we will send you a invoice with special pricing. The rate per person to share the room is $667. Rates include taxes and booking fees.

Deposit for Private Room with Shared Bathroom$400.00

The total cost for the 2-payment option is $939. The remaining $539 is due on September 1 2025 and we will send you a payment invoice on or before that date. Rates include taxes and booking fees

Double Room with shared bath $789.00

Accommodations will be in a beautiful room with 2 beds, and a shared bathroom. If you wish to share a room with a friend, please let us know that person's name in the form above. Rates include taxes and booking fees.

Deposit for Double Room with Shared Bath$400.00

The total cost for the 2-payment option is $839. The remaining $439 is due on or before September 1, 2025 and we will send you an payment invoice on or before that date. Rates include taxes and booking fees.

Pay in full for Private Room w/ensuite bathroom$ Free

This is for those receiving separate invoices for the 25% off share a bed/share a room discount

Total $0.00

Turn a New Leaf

Retreat Participation Agreement

You're almost done! Go ahead and Book it!