GATHER INTAKE | Grow Wild Retreats

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Our Off-Grid Wellness B&B is open for bookings!

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GATHER ACTIVITY REGISTRATION & INTAKE FORM

First name*

Last name*

Email*

Phone

EMERGENCY CONTACT NAME & #*

Friday Activities *

Flow into The Unknown w/ Fiji 6:30

Restorative Yoga & Sound w/ Sarah 6:30

Tranquil Hypnosis w/ Kat 7:00

Root to Rise w/Fiji 7:45

Yoga Nidra w/ Kristyn 8:00

I'll Just be chilling and free flowing

I am a Single Day Attendee

Saturday Activities *

A Core Awakening w/ Melissa 8:00

Tea Ceremony w/ Alicia 8:00

Survival Skills w/ Renee 8:00

Understanding Perimenopause w/ Sarah 8:00

Qui Gong w/ Zoe 8:00

Canning w/ Kim 9:00

Menstrual Magic w/Kat 9:30

Pillars of Health w/ Steph 10:00

Core Awakening w/ Melissa 10:00

Acupuncture & Sound w/ Jen & Rachel 10:30

Herbal Salve Making w/ Rachel 12:00

Foundations of Touch w Krystel 12:00

Journey with Mugwort w/Jenna & Megan 12:00

Breathwork & Dance w/ Hayley 12:00

Aging Is Beautiful w/ Ali 2:30

A Core Awakening w/Melissa 2:30

Yoga for Self Care w/ Michelle 2:30

Courageous Possibility w/ Mel 3:00

Breathwork w/ Kyla 3:30

Meditation for Caregivers w/ Cassi 4:00

Hatha Yoga w/ Bianca 4:00

Yoga Nidra w/ Kristyn Rose 7:30

Sunday Activities *

Hatha Yoga w/ Bianca 8:30

Create your Own Mala w/ Bonnie 8:30

Acupuncture & Sound w/ Jen & Rachel 8:30

QiGong w/ Zoe 8:30

Yoga for Self Care w/Michelle 8:30

Intro to Canning w/Kim 8:30

Meditation for Caregivers w/Cassi 10:00

I am a Single Day Attendee

Do you have any dietary restrictions? **A friendly reminder, we cannot accommodate celiac. ALSO please stay true to your dietary choices...if you choose to indicate vegetarian, vegan etc. Please make sure you are eating only the options created for you*

In the am what is your preferred warm beverage? **We will be making enough for each of you based on the answer to this question so please stick to your choice! *

Coffee

Tea

Hot Water

None

Do you hope to book a Practitioners Service? Ie. massage, acupuncture etc? Further booking details coming soon! *

What mode of camping will you be bringing?*

Tent

Van

Trailer

Truck Camper

RV/Motorhome

Other