Name * First Name Last Name E-mail * Phone/Whatsapp * (###) ### #### Preferred room type * Shared room Private room If shared, are you open to be paired, or do you come with someone (name please)? Do you have any pairing requests or considerations? Extended stay request for following nights September 13th September 14th September 19th September 20th Arrival and Departure Date & Time Food sensitivities or allergies Anything else you want us to know How did you hear about this event? Would you like to be added to the WhatsApp group for coordination and pre-retreat inspiration? Yes No I understand that my spot is reserved only once payment is received and I have agreed to the retreat's conditions. * Merci !