Circle RegistrationStep 1. QuestionnaireReserving your spot is a 3-step process.Be sure to also complete Step 2 and Step 3. (Remember to click “submit” when finished.) Name * First Name Last Name Phone Number (###) ### #### Email * Name of Emergency Contact First Name Last Name Phone Number of Emergency Contact * (###) ### #### Retreat: Preferences, Sensitivities, and Requests Please answer the following with regard to our weekend retreat What activities interest you? (Check all that apply.) Relaxation Meditation Hiking Bonfire Small Groups / Dyads Dancing Under the Stars Something Else (Describe below) Do you have any concerns about the retreat? * Yes No Do you have any mobility or dietary restrictions? * Yes No Do you have any medical or psychological condition or injury that we should be aware of? * Yes No Do you have sensitivity to essential oils, flowers, or other allergies (e.g., feather pillows)? * Yes No Do you have food sensitivities or preferences (e.g., vegetarian, vegan, dairy-free, gluten-free)? * Yes No Are you UNcomfortable with participants having the option to bring/share wine? * Yes No Do you have any doubt about your ability to arrive fragrance-free? * Yes No Would you like to find or offer a ride share? Yes No Is there any event information that you couldn’t find easily? Yes No Please provide details for any "yes" responses above. Retreat: Accommodations & Travel Please plan to arrive Friday between 2:00-3:30p and depart Sunday between 2:00-3:30p. *Let me know if your flight arrives earlier, in which case, I'll make the arrival time earlier for everybody (e.g. 12p) Do you plan to stay overnight on the property? * Yes No, I plan to commmute Undecided If you plan to stay overnight, what is your preference? Lodging, single occupancy Lodging, double occupancy Camping Van Hook-Up When are you arriving and how? (e.g., “Friday, 2p, car”.) Please let me know your flight arrival times. If an earlier arrival is helpful, I will make it earlier for everyone (e.g. 12:00 pm) When are you departing and how? (e.g. “Sunday, 2p, by car to SFO for 5p flight”) Please share any additional questions, comments, or requests below. Thank you for submitting your questionnaire. Please continue with your registration process.
