Questionnaire

What is your full name? *

First

Middle

Last

What is your email address? *

What is your current address? *

Do you have social media? If so please provide your Instagram/Facebook handle.

How old are you?

What are your special interests?

How would you describe your personality?

What do you do to relax?

Do you enjoy fitness and keeping active? If so, what kinds of exercise and activities do you enjoy?

Do you enjoy group activities or solo missions? *

Have you ever travelled overseas before? If so where and did you go by yourself or with someone?

Have you ever been on a fitness or health retreat before?

Do you have any food allergies or dietary requirements that we need to know about?

We would love to accommodate where we can with this so you can enjoy all the wonderful food coming your way!

Would you prefer a single room or a shared twin room option? *

If you are travelling with a friend on the retreat, please list their name below if you wish to share a room with them.

Your next step is to purchase your room of choice at our shop. Once payment is made, Emma will contact you to confirm your spot on the retreat.