Feb 3-7, 2025 | Befriending Ourselves Co-Creation Retreat

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1 Welcome

3 People in your group

Guest 1		First Name* Last Name* Email* Which of the following most accurately describes you?
Guest 1		First Name* Last Name* Email* Which of the following most accurately describes you?

After completing this form, emails will be sent to everyone in your group to complete their information.

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4 Participant Info

Address *
City *
Province/state *
Postal/zip code *
Country *
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Birth Date
Which of the following most accurately describes you?
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)
Bed Setup: Only applies to Moonstone, Amethyst, Jade, Quartz Cottages	I am staying in Moonstone, Amethyst, Jade or Quartz Cottages
Emergency Contact Name
Emergency Contact Phone Number
Medical Issues	If none, enter 'none'
How did you hear about us?
Are you a returning guest?	Yes No
If you selected "Social Media" above, which social platform?
If you selected "Friend" who can we thank?
If Internet Search, what did you search for?
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 *
Are you celebrating a special occasion?
Comments or Special Needs
Discount code
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)

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1 Welcome

2 Price

Select an option*

No-Accommodation Retreat Package Option

Amethyst Cottage Retreat | Shared Room | Shared En-suite Bath

Amethyst Cottage Retreat | Private Room | En-suite Bath

Jade Cottage Retreat | Shared Room | Shared Ensuite Bath

Jade Cottage Retreat | Private Room | En-suite Bath

Quartz Cottage Retreat | Shared Room | Shared Ensuite Bath

Quartz Cottage Retreat | Private Room | En-suite Bath

Opal A-Frame Retreat | Private Room | Shared Detached Bath

Jasper A-Frame Retreat | Private Room | Shared Detached Bath

Sunstone A-Frame Retreat | Private Room | Shared Detached Bath

Emerald Room Retreat | Shared Room | Shared En-suite Bath

Emerald Room Retreat | Private Room | En-suite Bath

Turquoise Room Retreat | Private | Shared Detached Bath

Amber Room Retreat | Private Room | Shared Detached Bath

3 People in your group

4 Participant Info

5 Payment