Autumn Day RetreatThank you for booking the Release & Restoration Day Retreat in Sorrento for the 30th April 2022. Please complete this form prior to the 26th April. Name First Name Last Name Email Phone number Emergency contact Please advise your previous experience with Yoga, meditation & energy healing Please provide information on relevant injuries, illnesses, conditions Consent * I understand I am fully responsible for my own body and practice and I will choose 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 my photograph being taken and shared on social media and website via Kirsty Saunders I consent to hands on touch and adjustments from the teacher where appropriate in the classes (Reiki balance, posture adjustment) Lunch * Lunch boxes will be provided to each participant. Please indicate your meat or veg option AND your choice of dressing Lunch box 1 - Roast veg salad with chicken (gf, df) Lunch box 2 - Roast veg salad with chickpea smash (v, df, gf) Dressing 1 - Spicy & smokey adobo mayo (df, gf) Dressing 2 - Red capsicum (v, gf, df) Cold pressed juice * Please indicate the juice you would like to receive ANTI-INFLAM IT carrot, orange, pineapple, apple, tumeric 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, thanks Dietary requirements for afternoon tea Please share your postcode How did you hear about the retreat? Facebook Instagram Word of mouth Eventbrite Search engine Kirsty's enewsletter Other If you indicated 'other' please share Any other comments Thank you! I can’t wait to spend the day with you.Please ensure my email is saved to your contacts hello@kirstysaunders.com