Name
*
First Name
Last Name
Email
*
Can we share your information regarding airport transfers to connect you with other arriving retreat guests?
*
YES
NO
Date of Birth
*
MM
DD
YYYY
Address for your invoice
*
All invoices will be sent via email, however, we need your billing address to complete the invoice.
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Where did you hear about this Retreat?
*
Instagram, website, a friend etc.
What inspired you to book this retreat?
*
What does your daily/weekly practice look like?
*
Movement, active rest, meditation etc.
Do you have any experience with our practices? If yes, what and how long have you been practicing?
*
Pilates, Hatha Yoga, Yin Yoga, Yoga Nidra, Sound bath, Reiki, Breathwork
Is there anything that you feel we need to know about your health prior to the retreat?
*
Injuries, health conditions etc.
Do you have any food allergies, sensitivities or dietary restrictions?
*
Please be specific by letting us know if it's something you're allergic to, sensitive to, or don't eat. *The menu at Ebbio is Organic Vegetarian. Additional dietary restrictions can be accommodated to, for an additional cost of €10 per day/person added to your invoice.
First Room Choice
*
Shared Triple Room - 1350 EUR/person
Shared Double Room - 1600 EUR/person
Single Room - 2000 EUR/person
Second Room Choice
*
Shared Triple Room - 1350 EUR/person
Shared Double Room - 1600 EUR/person
Single Room - 2000 EUR/person
Third Room Choice
Shared Triple Room - 1350 EUR/person
Shared Double Room - 1600 EUR/person
Single Room - 2000 EUR/person
If you're booking a shared room, are you booking with a friend(s)?
Yes
No
If yes - and you want to room toghether, please let us know their name(s)
Do you have any questions for Michelle or Miriam, the chefs or the retreat center at this time?
BY CHECKING THE BOX BELOW, I CONFIRM THAT I HAVE READ THROUGH AND UNDERSTAND WHAT THIS RETREAT CONTAINS AND AGREE TO THE TERMS AND CONDITIONS, CANCELLATION AND REFUND POLICY
*
Terms and conditions can be found on the retreat page and here: https://www.michellebaker.co/essence-retreat-terms-conditions
