Name
*
First Name
Last Name
Email
*
Accomodation
*
Included in price:
- Accommodation for 10 days
- Breakfast, lunch and dinner for 10 days
- Coffee, herbal teas, and water all day
- Coaching
- Daily breathwork, yoga, meditation classes.
Not included:
- Flights
- Transportation to and from the location
- Special drinks, and snacks that are not on our menu
- Optional excursions and activities
Prices are per Person:
Food preferences
Please let us know if you would like other options.
You can also use the comment section below to indicate
any allergies or preferences.
Do you have any food intolerances?
Do you have any allergies? (e.g. dogs, essential oils, herbs)
Do you suffer from any of the following contraindications?
Cardiovascular diseases, Abnormal high blood pressure, Aneurysms, Epilepsy or past seizures, Use of strong medication, Severe psychiatric symptoms (especially psychosis or paranoia), Bipolar disorder, Osteoporosis, Recent surgery, Glaucoma, Pregnancy, or untreated psychological conditions where adequate support is not available.
Please note:
Individuals with asthma should bring their own inhaler and consult both their doctor and the breathwork facilitator before participating in a session.
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Date of birth
MM
DD
YYYY
Phone
*
Country
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Comments/ Questions
Terms & Conditions