FemmeQ: Feminine Intelligence for a Regenerative Future Retreat Booking Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please complete this form in full to book your place at the FemmeQ: Feminine Intelligence for a Regenerative Future Retreat from 24th - 31st July 2021 at Blue Spirit, Costa Rica. On receipt of your form and deposit, we will write to confirm your place on the retreat. If you have any questions, please email: Rebecca@femmeq.org

Pronoun *

First Name *

Surname *

Email address *

Contact phone number *

Country

Accommodation selection *

Retreat package rates depend on the choice of accommodation & include all taxes, the retreat tuition, your 7-night stay and 3 daily buffet style meals (gourmet ovo-lacto vegetarian and vegan cuisine, plus fish being served 3 times during your stay. Food allergies can be accommodated.)

Eco Cottage - Single occupancy - $1,745 per person

Eco Cottage - Double occupancy - $1,500 per person

Hermitage Room with A/C - Single occupancy - $2,045 per person

Hermitage Room with A/C - Double occupancy - $1,825 per person

Nature Suite with A/C - Single occupancy - $2,445 per person

Nature Suite with A/C - Double occupancy - $1,945 per person

Ocean View - Single occupancy - $2,795 per person

Ocean View - Double occupancy - $2,245 per person

Deposit payment

Please remit your US$500 deposit to the Paypal account of our key sponsor, The Flourish Initiative

Visit: https://www.paypal.com/
Deposit amount: US$500
Deposit to Paypal account: Karen@theflourishinitiative.com
Reference: FemmeQ retreat and your name

We will be in touch to confirm receipt and your place.

Please let us know your dietary requirements *

None

Vegetarian

Vegan

Lactose intolerant

Diabetic

Celiac (gluten free)

Wheat intolerance

Kosher

Halal

Nut allergy (Please specify)

Peanut allergy

Other:

Required

Finally, if you're willing, we'd love to know what's drawn you to FemmeQ and what you are most looking forward to about the retreat

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms