SACRED SHE RETREAT FORM

First name

Last name

Email

Phone

Address

Instagram Handle

Emergency Contact Name

Emergency Contact Number

Health Questionnaire

Are you currently under the care of a physician for any medical condition? (if yes, please specify)

Have you every had any of the following medical conditions? (Check all that apply)

Are you pregnant (to the best of your knowledge) or trying to become pregnant?

Yes

No

Sleep Schedule

Im definitely

A morning person

A night person

Both are fine

Meals

Please list any food allergies

Please list any OTHER (non food) allergies

Flights & Driving

If you are flying, please indicate which city/country you are flying in from AND your arrival/departure times. Please forward your booking to windtuitionwellness@gmail.com. We have a shuttle leaving at 2pm MT, otherwise your responsible for your travel.

If you are driving, please indicate the city you are coming from, and driving preference

I love driving alone

I would love to carpool

If you are wanting to carpool, please indicate which city you are driving from, and we will put you in touch with others wanting to also carpool if they are in your area.

I agree to getting mandatory travel insurance

I agree to the liability waiver

I agree to the refund policy

I understand this is a sober retreat and that no alcohol, cigarettes or drugs are permitted on the premise and throughout the retreat

Today's Date

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Day

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WINDTUITION

SACRED SHE RETREAT FORM

Health Questionnaire

Sleep Schedule

Meals

Flights & Driving

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