Weekend Retreat RegistrationStep 1. QuestionnaireReserving your stay 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 * (###) ### #### When are you arriving and how? (e.g., “Friday, 2p, car”.) When are you departing and how? (e.g. “Sunday, 2p, by car to SFO for 7 pm flight”) Do you have any concerns about attending weekend 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 Would you like to find or offer a ride share? Yes No Do you have any concerns about your ability to arrive fragrance-free? Yes No Is there any event information that you couldn’t find easily? Yes No Please provide details for any "yes" responses above. What of the following interests you? (Check all that apply.) Relaxation Meditation Hiking Bonfire Small Groups / Dyads Dancing Under the Stars Something Else (Describe below) Please share any additional questions, comments, or requests below. Thank you for submitting your questionnaire. Please continue with steps 2 and 3.
