Grand Canyon Summer Solstice Retreat:

Pre-Retreat Form

Thank you for taking a few moments to complete this form. Your responses will help us prepare a safe, nourishing, and memorable experience for everyone.

Name

First Name

Last Name

Phone

(###)

###

####

Date of Birth

Emergency Contact Name

Emergency Contact Phone Number

Do you have any food allergies?

Do you have any dietary restrictions or preferences?

Are there any other health concerns or needs you'd like us to be aware of? (This could include injuries, mobility needs, medications, etc.

What inspired you to sign up for this retreat?

What are you hoping to receive from this experience?

What would make this retreat feel truly meaningful or transformative for you?

Are you interested in booking a mini photo session with our retreat photographer, Katie of Moon Valley Creative? (This is a retreat add-on and not included in retreat tuition).

How do you plan to arrive at the retreat? Are you driving, carpooling, flying in?

Anything else you would like us to know before the retreat?

Thank you so much for your time!

XOXO

Kye