Name
*
First Name
Last Name
Email
*
Date of Birth
*
MM
DD
YYYY
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
What language would you prefer the retreat to be in?
*
English
Swedish
Where did you hear about this Retreat?
What inspired you to book this retreat?
Have you practiced Pilates, Garuda, Yoga Nidra, Sound bath or Reiki before?
*
Is there anything that you feel I need to know about your health prior to the retreat?
*
Any injuries, pregnant/post partum etc.
Do you have any food allergies or sensitivities?
*
Please be specific letting myself and the chef know if it's something you're allergic to, sensitive to, don't eat or don't like. the chef will do her best to accommodate everyone. if for some reason your request can't be accommodated for, we will let you know.
First Room Choice
*
Standard Shared Room - 5600 sek per peson
Spacious Shared Room - 5800 sek per person
Single Room - 6400 sek per person
Second Room Choice
*
Standard Shared Room - 5600 sek per person
Spacious Shared Room - 5800 sek per person
Single Room - 6400 sek per person
If you're booking a room share, are you booking with a friend?
Yes
No
If yes, please let me know their name if you're wanting to room together
Do you have any questions for myself, the chef or the retreat center at this time?
*
By checking this box below I confirm that I have read through and understand what the retreat entails and what the terms and conditions, cancellation and refund policy are.
*
Terms and conditions can be found on the event page and here: https://www.bloomwithmiriam.com/the-retreat-terms-conditions
