Link to information on Spinal Energetics Name * First Name Last Name Email * Phone number * Emergency contact * Please provide name and contact information Catering All meals will be provided. Catered meals will be vegetarian. The accommodation provide continental breakfast of bread/spreads, cereals and milk. Do you require GF bread and/or milk alternatives (soy, oat, almond)? Please provide information on any dietary requirements. Cold Pressed Juice You will be provided with a cold pressed juice. Please indicate your preference. ANTI-INFLAM IT carrot, orange, pineapple, apple, turmeric DIGEST IT kale, spinach, cucumber, apple, carrot, lemon, mint HYDRATE IT strawberries, watermelon, apple, lime, mint DETOX IT beetroot, apple, carrot, ginger, lemon No juice for me Dinner beverage We will gather for a communal meal on Saturday evening. Some wine and kombucha will be provided. Please indicate your likely preference. Sparkling wine White wine Red wine Kombucha Yoga Equipment Bolsters, cushions and blankets will be provided to you. Do you require a Yoga mat or an eye pillow? You may wish to bring your own Yes, please provide me with a Yoga mat Yes, please provide me with an eye pillow Optional Massage or Spinal Energetics Appointment On-site massages are offered with local massage therapists for an additional cost of $100/50min. Payment to be made at the appointment by EFT on the day. On-site Spinal Energetics appointments are also available with Kirsty $85/35min. Payment to be made by bank transfer or cash on the day. Please refer to retreat program when deciding on your appointment time. First in for appointment times. The list of available times will be updated as people book. Friday 1pm MASSAGE 2pm MASSAGE 3pm MASSAGE 4pm **Booked**MASSAGE 5pm MASSAGE Saturday 8.30am MASSAGE 9.30am MASSSAGE 10.30am MASSAGE 11.30am **Booked**SPINAL ENERGETICS 12.30pm **Booked**MASSAGE 1.30pm **Booked**SPINAL ENERGETICS 2.15pm **Booked**SPINAL ENERGETICS 3pm **Booked**SPINAL ENERGETICS Please indicate your preferred time and service below Song requests for Pohss Dance We are lucky to have Soph from Pohss Studio facilitate an embodied dance and movement experience. You're invited to request 1 or 2 songs that will support you as you move, tune in and express yourself. Please provide song information below. This is optional. Optional Activity Sunday afternoon This activity is an additional optional add-on to the retreat weekend. The Matanya Effect in Kinglake offers a 2 hour equine energy workshop. This beautiful horse experience includes a discussion about how to monitor your energy and emotions, and time in the horse arena where you connect with and develop a relationship with your horse and the horse responds to your energy state through tasks and activities. This is not a horse riding activity. This activity intends to bring what we have connected to and embodied from the weekend to the horses and receive their feedback on the energies we have within us, deepening your own connection and self clarity. It will provide a beautiful reflection and closure to all the embodiment, mindfulness and self connection we have cultivated throughout our weekend retreat. **This is an additional $170pp/2hours on Sunday afternoon** Payment to be made directly with Matanya Effect on the day. We require a minimum of 5 people for this activity to go ahead. Located a 5 minute drive from our retreat venue. Yes, book me in No, thank you Your intention You're invited to share a word or a few sentences about what energy (emotion/feeling) you hope to connect with or cultivate from this retreat Injuries / Body Ailments Please provide information on any relevant injuries or conditions which may impact your movement and Yoga practice (for example but not limited to: blood pressure, muscular, skeletal, pregnancy) Public Liability * I understand I am fully responsible for my own body and I take personal responsibility to participate in a way which looks after my body I consent to the use of essential oils, coconut oil, sage and palo santo I consent to hands on touch from the teacher to adjust postures and receive Reiki and energy healing I consent to photography and videography throughout the retreat which may be shared on social media platforms Any further comments Thank you!
