Breathing & Resilience Online Breath Retreat
The Big Breath Company & Respiremos

This is the online registration form for our weekend retreat.

The full schedule can be viewed here

https://thebigbreathcompany.com/wp-content/uploads/2021/01/Breathing-Resilience-Schedule.pdf

Full Moon Weekend 27th * 28th February Saturday & Sunday 2021

Technical requirements:

PC, laptop with Zoom installed and a reliable internet connection

email us hello@thebigbreathcompany.com

COST OF COURSE

Early bird £297 before 1st February 2021
Full price £347 from 1st February 2021


Please fill in the questions below and provide as much information as you can. If you need to come back and make any changes then you are able to do so.

Email address *
First Name *
Second Name *
Phone number (with international dialing code) *
Home Address (including Country) *
Postal Code *
Do you have any medical issues or disabilities that you think we should know about?
Please provide the name, relationship and phone number of a next of kin who can be contacted in case of an emergency? *
Are you happy for us to share you email and contact details with other participants? *
Required
How did you find out about this Retreat?
Do you have any questions or think we need to know anything else?
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of The Big Breath Company. Report Abuse