5-Day Disconnect To Reconnect Silent Retreat

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1 Welcome

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Birth Date
Which of the following most accurately describes you?
What are your pronouns?	ie: She/her or She/they or They/them
Food Allergies + Restrictions *	None Vegan (no dairy) No Eggs Gluten Free Celiac No Soy No Peanuts or Tree Nuts No Legumes (chickpeas, beans, peas, lentils) Other Allergy: Please specify below
If "Other" please specify here	(please note we cannot accommodate special diets like Keto or cleanses - allergies will be accommodated to the best of our ability)
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Terms + Conditions *	I accept all terms and conditions. I understand that my booking is non-refundable + changes cannot be made under 30 days prior to my arrival date. Please CLICK HERE to read the full terms and conditions prior to booking
By clicking here, you are confirming that you understand that this retreat is non-refundable *
Comments or Special Needs
If you are booking the Amethyst, Jade, Quartz, Moonstone or Emerald Rooms, by clicking the box below, you are confirming that you are aware that these rooms are shared accommodation	Yes, I understand this is a shared accommodation Not Applicable (booking the Sunstone, Jasper, Opal, Amber or Turquoise private rooms)