AWAKEN WOMEN RETREAT

1

Your Full Name* This field is required.

First Name

Last Name

2

Your Email* This field is required.

example@example.com

3

Phone Number* This field is required.With Country Code

Please enter a valid phone number.

4

Your date of birth* This field is required.

Date

5

What is your Instagram? (optional)

6

Have you joined our previous Woman Retreat before?* This field is required.

YESNO

7

If yes, which one? (UK, Portugal, Bali)* This field is required.

8

If no, have ever done a Women’s Retreat before? Please share details.* This field is required.

9

Have you done any therapy, bodywork or other self-development practices?* This field is required.

YESNO

10

If yes, please describe exactly.* This field is required.

11

Have you done Breathwork before ?* This field is required.Referring to Conscious Connected Breathwork / Transformational-Style Breathwork.

YESNO

12

Do you have any food allergies?* This field is required.If yes, please provide details.

13

Do you have any pre-existing medical conditions?* This field is required.If yes, please provide details.

14

Are you currently pregnant?* This field is required.If yes, please provide details.

15

What is your main intention for joining Awakened Woman Advanced Level?* This field is required.

16

Is there anything else you would like us to know about you?* This field is required.

17

Which room option would you like to book for the retreat?

Private Room / Early Bird (£1750)

Shared Room / Early Bird (£1550)

18

Which payment plan would you like to select?

Abundance → Full payment

Harmony → 2 payments

Flow → 3 payments

19

If you are booking with a friend, please provide their name so we can try to accommodate you together.