Name

First Name

Last Name

Will you be participating in the facilitated Fire & Ice Activity after lunch? (included as part of the retreat booking)

During an energising workshop, be invigorated by the powers of hot and cold therapy in our state-of-the-art saunas and ice plunge. Flow between our hot saunas, ice plunge pool and cold plunge pool as you learn and experience the key health benefits of this popular science under the guidance of trained hosts. **There is a minimum number of participants needed for this workshop to go ahead**

Yes

No

Consent

You are responsible for your body, mind and health in participating in this retreat including bathing activities

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 being photographed and videoed which may be 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 (energy healing and posture adjustment)

I take complete responsibility for my self and my body with bathing practices and have read and understood the health guidelines provided by the Peninsula Hot Springs (as above)

How did you hear about the retreat?

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