Holistic CitiZen Retreat Sign Up
Join us on a three day holistic retreat in a beautiful location in Ontario, an hour and a half away from Toronto.

The retreat will include yoga, guided meditation and energy healing, workshops, plant based nutritious meals, animal therapy, water therapy and more! This retreat welcomes men and women.

Dates: May 24-26, 2019

This is a preliminary sign up sheet. This does not guarantee your spot! More details to come.

Email address *
Full Name *
Your answer
How old are you?
Your answer
Are you a holistic practitioner of any modality (Yoga/ Nutrition/ Energy Healing / Chinese Medicine etc.)
If you are a holistic practitioner, please describe what you practice *
Your answer
What is the best way to contact you? (Instagram/ Phone number/ email).
Your answer
Will anyone else be joining you? Please specify their names.
Your answer
What is your intention for this retreat? (Healing/ learning/ connecting etc.)
Your answer
Comments and/or questions
Your answer
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service