Rising Stars Registration Form

Well women retreat registration

hosted By The Infusion Spa, 8/23/2026
Full Name

First NameLast Name
E-mail
example@example.com
Dietary allergies or preferences
Cancellation Policy
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Any medical conditions or contraindications?
How did you hear about the retreat?

Standard Wellness Passport

One-hour Yoga Session

Mini NAD+ IV (100 mg) with Vitamin B12

Healthy Nourishing Lunch

Coffee & Matcha Bar

Pool Access

Hot Tub

Cold Plunge

Red Light Therapy

PEMF Therapy

Access to exclusive Wellness Day pricing with our wellness partners

$260.00

Elevated Wellness Passport

One-hour Yoga Session

Mini NAD+ IV (100 mg) with Vitamin B12

Healthy Nourishing Lunch

Coffee & Matcha Bar

Pool Access

Hot Tub

Cold Plunge

Red Light Therapy

PEMF Therapy

Access to exclusive Wellness Day pricing with our wellness partners

$100 Wellness Credit toward wellness services

Priority scheduling for wellness appointments

Welcome Gift

Additional surprise wellness treats

$395.00

Total

Well women retreat registration