Welcome to the Rest & Restore Retreat.

We gather in Kinglake the 11-13 August.

Please complete the below form before the 1st August.

This will support me in planning and catering the retreat to best meet your needs.

You’ll also find the retreat program!

I am so looking forward to sharing this weekend with you.

Kirsty x

Name

First Name

Last Name

Phone number

Emergency contact

Please provide name and contact information

Catering

All meals will be provided. Catered meals will be GF & vegetarian. The accommodation provide continental breakfast of bread/spreads, cereals, milk & juice. Do you require GF bread and/or milk alternatives (soy or almond)? Please provide information on any dietary requirements.

Cold Pressed Juice

You will be provided with a cold pressed juice. Please indicate your preference.

Dinner beverage

We will gather for a communal meal on Saturday evening. Some wine and kombucha will be provided. Please indicate your likely preference.

Yoga Equipment

Bolsters, cushions and blankets will be provided to you. Do you require a Yoga mat or an eye pillow? You may wish to bring your own

Yes, please provide me with a Yoga mat

Yes, please provide me with an eye pillow

Optional Massage or Spinal Energetics Appointment

On-site massages are offered with local massage therapists for an additional cost of $100/50min. Payment to be made at the appointment by EFT or cash. On-site Spinal Energetics appointments are also available with Kirsty $70/35min. Payment to be made by bank transfer or cash. Please refer to retreat program when deciding on your appointment time. First in for appointment times. The list of available times will be updated as people book. Friday 1pm MASSAGE - (2pm pending) - - - Saturday 8.30am MASSAGE - - - - - - - Please indicate your preferred time below

Song requests for Pohss Dance

We are lucky to be joined by Soph from Pohss Studio for an embodied dance and movement experience to connect you with your body and self. You're invited to request 1 or 2 songs that will support you as you move, tune in and express yourself. Please provide song information below. This is optional.

Injuries / Body Ailments

Please provide information on any relevant injuries or conditions which may impact your movement and Yoga practice (for example but not limited to: blood pressure, muscular, skeletal, pregnancy)

Public Liability

I understand I am fully responsible for my own body and I take personal responsibility 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 from the teacher to adjust postures and receive Reiki and energy healing

I consent to photography and videography throughout the retreat which may be shared on social media platforms

Any further comments