Paths to Self-Care: Harnessing Quantum Flow for Well-Being

First Name

Last Name

Phone/Mobile with Country Code

Check this box if you're available on WhatsApp with the number above.

Where are traveling from?

What do you hope to get out of the retreat?

What do you imagine you will contribute?

Are you interested in checking-in a day early on November 14, 2024?

Yes

Are you interested in learning about the Science and Consciousness Conference held at Broughton Sanctuary from November 18th to November 23rd, 2024?

Yes

Please check this box if you live locally and do not need lodging

I HEREBY AGREE TO THE FOLLOWING TERMS AND CONDITIONS

That I am participating in any of the following: Breathwork, Shamanic Journeys, Weleda Signature Treatment and /or exercise classes offered by Paula Petry, Karen Mellers. I recognize that exercise requires physical exertion and always has the potential for physical injury, and I am fully aware of the risks or hazards involved.

I understand that it is my responsibility to consult a physician prior to and regarding my participation in the workshops offered on this retreat. I confirm that I am physically fit and I have no medical condition which would prevent my full participation in the retreat I am taking part in. If I am pregnant, I understand that I participate fully at my own risk and that of my unborn child/children.