Retreat form Thank you for booking the Summer Day Retreat. I’m so excited to share this with you. Before we get together I need some information from you. Please complete this form prior to the 12th February. Name * First Name Last Name Email * Phone number * Emergency contact * Please advise your previous experience with Yoga, meditation & energy healing Please provide information on any injuries or relevant illnesses or 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 hands on touch and adjustments from the teacher where appropriate in the classes (Reiki balance, posture adjustment) Lunch * Lunch boxes will be provided. Quinoa Super Slaw Lunch Boxes served with Avocado, Roasted Seeds and Red Capsicum Mayo (GF, DF, Vegan) Please indicate one additional topping you may like added: Option 1 - Whipped fetta (GF) Option 2 - Pickle tuna mix (GF, DF) Option 3 - no additional topping 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 Any other comments Thank you! See you in Sorrento soon!