Retreat Form
After you fill out this form, we will contact you to go over details and dates of the retreat. If you have further questions, feel free to email us at support@scarletroot.com
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Email *
Full Name *
Are you interested on these dates? *
Required
Phone number *
In case of emergency, please contact: *
Please enter the contact number
Do you have any allergies?
Please specify here:
What are your food preferences?
Please specify here:
Do you have any health conditions (including mental health) that require accommodation and how can we support your needs?  
Let us know here:
Are you an introvert or extrovert?
Are you the type of traveler who likes things to be planned to the hour, or is a freedom and flexibility your travel style?
Questions and comments
A copy of your responses will be emailed to the address you provided.
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