November Deep Winter Retreat – Registration
Share your details, room and practical needs, and confirm your consent and payment terms to complete your registration.
Hello. It’s lovely to have you here, and lovely that you’re interested in joining us for Deep Winter. The retreat is intended to be a space for deep rest, reflection and insight, connection and relaxation. This form helps me get to know you a little and make sure I have what I need to help you feel comfortable and well looked after during the retreat.
Full name
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First Name
Middle Name
Last Name
Email address
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example@example.com
Phone / WhatsApp
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Please enter a valid phone number.
Format: (000) 000-0000.
City and country of residence
Date of birth
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-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Emergency contact name
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Relationship to emergency contact
Emergency contact phone
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Please enter a valid phone number.
Format: (000) 000-0000.
Accommodation and practical needs
Room preference
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Private room €945
Shared room €785
Are you sharing with someone specific?
Yes
No
If yes, their name
Dietary requirements, allergies, intolerances, or foods strongly disliked
Mobility, accessibility, sleep, temperature, sound sensitivity, or other practical needs
Travel
Will you need transport between Geneva and the retreat venue?
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Yes
No
Arrival and departure details (optional)
What is bringing you
What brings you to Deep Winter at this point in your life?
What would you like to receive, explore, release, or reconnect with during the retreat?
Is there anything you feel apprehensive about or would like us to know?
Breathwork and wellbeing
What experience do you have with breathwork?
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None
Light or gentle breathwork
Deeper breathwork (for example conscious connected or holotropic-style breathwork)
Are there any medical, physical, psychological or emotional conditions, or medications, that Alison should know about in relation to deeper breathwork or retreat participation?
Agreement and consent
Conscious connected breathwork can be intensive. Participation is optional, and Alison may modify or omit the practice if needed for safety.
DIRECT BOOKING, PAYMENT AND CANCELLATION TERMS Submitting this registration form does not automatically reserve a place. Alison will first confirm availability and suitability and will give you a deposit payment date. Your booking is confirmed when the 30% deposit, or full payment, is received. The remaining balance is due 30 days before the retreat begins. For bookings made within 30 days of the retreat, full payment is required to confirm the place. If the balance is not received by the due date, Alison will send a reminder. If it remains unpaid seven days later and no alternative arrangement has been agreed, the booking will be treated as cancelled, the place may be released, and the deposit will not be refunded. If you cancel more than 30 days before the retreat, all retreat payments will be refunded. If you cancel 30 days or fewer before the retreat, payments are non-refundable unless your place is filled and paid for by another suitable participant. If that happens, your retreat payments will be refunded. If Insight Aware cancels the retreat, all retreat payments will be refunded in full. Personal travel and other associated expenses are not covered. Participants are responsible for arranging appropriate travel insurance, including cancellation cover. Bookings made through BookRetreats are subject to BookRetreats’ own payment and cancellation terms. Prices: €945 private room and €785 shared room only. Payment details: Account holder: Alison Osborne IBAN: FR76 2763 3121 2904 9186 4670 444 BIC: BUNQFRP2 Payment reference: Deep Winter + participant’s full name Contact email: alison@insight-aware.com
I have read and agree to the direct-booking payment and cancellation terms and the retreat agreement and boundaries. I understand that submitting this form does not confirm my place, and that participation in all activities is optional.
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I agree
Do any of the following apply to you, or are you unsure? Psychosis or bipolar disorder; epilepsy or history of seizures; serious cardiovascular disease or heart rhythm disorder; uncontrolled high blood pressure; previous stroke, TIA or aneurysm; glaucoma or retinal detachment; severe or uncontrolled asthma or COPD; pregnancy; recent surgery, significant injury or recent hospitalisation; severe osteoporosis; history of fainting or syncope; acute trauma or significant current mental-health instability.
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No
Yes
Unsure
If you answered yes or unsure, please share brief details.
Submit registration
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