Welcome to the Spring Wellness Retreat

We gather in Kinglake on the 9-11 September.

Please complete the below form before the 1st September.

I have also provided the retreat program- get excited!

I am so looking forward to sharing this magical weekend with you.

Kirsty x

Name

First Name

Last Name

Phone number

Emergency contact

Please provide name and contact information

Catering

All meals will be provided. Catered meals will be GF & vegetarian. The accommodation provide continental breakfast of bread/spreads, cereals, and homemade granola, milk & juice. Do you require GF bread and/or milk alternatives (soy or almond)? Please provide information on dietary requirements.

Cold Pressed Juice

You will be provided with a cold pressed juice. Please indicate your preference.

Dinner beverage

We will gather for a communal meal on Saturday evening. Some wine and kombucha will be provided. Please indicate your likely preference.

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 Appointment

On-site massage with qualified naturopath, remedial masseuse and Reiki Master for an additional cost of $100/1 hour. Payment to be made directly at appointment by EFT or Cash. Please refer to retreat program when deciding on your massage appointment time. First in for massage appointments. - - - Saturday 8am Saturday 9.10am - - - - Saturday 3pm Please indicate your preferred time below

Song requests for Pohss Dance

We are lucky to be joined by Soph from Pohss Studio for an embodied dance experience to connect to your inner rhythm and honouring the seasons and cycles we move through. You're invited to request 1 or 2 songs that connect you to your own inner soft internal rhythm and/or expansive outward rhythm. Please provide song information below. This is optional.

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

Any further comments