Contact 1 — Shieling retreats

We are delighted that you’ll be joining us on this upcoming experience. Please fill out the form below so we can make sure all your needs are met.

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Number

Birthday

YYYY

Emergency Contact

First Name

Last Name

Number

Do you have any allergies?

Do you have and specific dietary requirements or requests?

What are your favourite foods? What are your least favourite foods?

Do you have any existing medical conditions, injuries or have you had any surgeries that may effect your stay with us?

Do you exercise? If so how often? What kind of exercise do you enjoy most?

Have you practiced meditation before? If so how often?

Have you practiced yoga before? If so how often?

How do you feel about dogs and horses?

Do you have any special requirements or requests?