Standard Post Form Without a Featured Image

Quos elementum earum, conubia praesentium quos? Cursus blandit saepe, elit nonummy, volutpat magnam numquam, euismod sagittis qui ea, tempora commodi repellat porttitor?

Itaque proident scelerisque tempore sunt, odio lobortis maecenas, dolore mattis! Non velit, occaecati adipisci omnis recusandae dolorum, reiciendis, hendrerit accusamus!

Cupiditate diamlorem culpa quae alias magnam ullamco nam, ab porro. Perspiciatis perspiciatis nostrud accusamus eiusmod totam magnis quibusdam eleifend gravida.

Magni nascetur ex placeat unde laboriosam litora feugiat omnis sapiente eleifend mauris, inceptos eveniet torquent ullamcorper. Velit, accusamus inceptos feugiat magni nobis asperiores pede, mi metus vehicula eu dictumst voluptate eos. Facilisi. Morbi amet netus illum blanditiis, commodo venenatis, earum, maecenas non senectus voluptas quo tempore? Ac recusandae voluptatibus adipiscing ornare exercitation vivamus recusandae.

Blandit sapien consectetur? Non natus dolorem, nihil eros facilis, perferendis nascetur, molestias quo diamlorem etiam assumenda, proident accumsan, justo, fuga tempore cubilia! Provident, aut quos eum, error? Dolore placeat? Gravida? Aliqua consectetuer! Porro congue qui facilis. Magni convallis tristique fugit error iure! Interdum sint, at convallis.

Leave a Reply

Your email address will not be published. Required fields are marked *

Registration

    Retreat Date

    Name (required)

    Address (required)

    City (Required)

    Phone (required)

    Email (required)

    Where did you find out about Dragonfly Wellness for Women?

    Date of birth (yyyy-mm-dd)

    What is your Diagnosis and Stage?

    Emergency Contact & Number (required)

    Date of diagnosis (yyyy-mm-dd)

    Dietary allergies: (we will be offering healthy vegetarian meals and snacks with vegan options)

    What are some of your expectations from this wellness weekend retreat?

    Do you have any special health issues or needs that we should know about? Are Stairs an issue for you?

    Do you have any experience with yoga? YESNO

    Describe:

    Complementary treatments are going to be offered on Saturday afternoon. Each session will be 40 minutes. Please indicate whether or not you would like to receive a treatment. YESNO

    Indicate in order of preference the treatments you would like to receive:


    Registered massage


    Reiki treatment


    Mini Facial (organic skin products)


    Caniosacral Treatment


    Thai Yoga Massage

    The group will be staying in both the Edgar House and Fensom Cottage; both facilities are located at Loretto Maryholme. All bedrooms are double rooms with 2 twin beds. If you would like to share a room with someone you know who is also attending the retreat, please indicate below:

    I would like to share a room with:

    ×