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1.
Colorado Immersive Self-Care Retreat
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First name
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Last Name
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Email
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Phone Number
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Street Address
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City
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State
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Country
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Postal Code
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Do you have any food allergies or special dietary restrictions?
Wine, beer, water and seltzer waters will be provided at the retreat. You are welcome to bring any other beverages you prefer, alcohol or otherwise.
I enjoy white wine
I enjoy red wine
I do not drink wine and would prefer beer
I don't drink wine or beer and am fine with water or bringing my preferred beverage
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My retreats are geared toward women in midlife plus. You are welcome to attend if you do not yet consider yourself in midlife, but you must be over 21. Please provide your birthday.
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Would you like to receive my email newsletter?
Yes - Please
No - Thank you
I already receive it
If you will be attending the retreat with a friend or family member and would like to share a room, please add their name(s) in.
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Please provide emergency contact info. Both name and phone number.
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Do you have any health conditions or injuries I should be aware of?
What is your level of yoga experience?
Beginner
Intermediate
Experienced
We will enjoy a fun group outing to the fabulous Beauty Bar, where you'll have the opportunity to indulge in either a manicure or a pedicure. Which service would you prefer?
I prefer a manicure
I prefer a pedicure
I don not wish to participate in this event
What is your shoe size?
What is your T-shirt size?
Small
Medium
Large
Extra Large
XXL
How did you find or hear about this retreat?
Kara
Facebook
Newsletter
Alumnus
Friend
Online Search
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Participant Deposits, Cancellations Info, Waivers and Agreement. Please review this document: https://docs.google.com/document/d/1J5YEvwP973tPSk8UJVi8rjLG59u4oOH4joXZ13OjeMo/edit?usp=sharing
A box check indicates you have read understand and agree to Reshape Midlife LLC's cancelation policy and all other policies and procedures for retreats.
I have read and understood the policy but I have some constraints. I would like to discuss these with the retreat leader.
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What would you like to gain from this retreat?
Anything else we should know?
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2.
Event Policies
Colorado Immersive Self-Care Retreat
Jul 24, 2025, 4:00 PM MDT – Jul 28, 2025, 12:00 PM MDT
Colorado Springs
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