Parent Retreat – Registration Form

Thank you for your interest in Pillars & Stone Parent and Child Retreats. We look forward to hosting you and providing a memorable and meaningful experience that will sustain you beyond the duration of the retreat.

All your answers are strictly confidential and will only be used for retreat design and to ensure we deliver an experience to fit your personal needs and expectations.

Step1. Complete booking form

Step 2. Select prefered accommodation option

Step 3. Read and agree terms & conditions

Step 4. Make payment: secure your place by making $400 deposit payment.

Step 1. Booking Form

Name

First Name

Last Name

Email Address

Country

Mobile

Country

(###)

###

####

Date of Birth

YYYY

Select Retreat

Select from drop down menu

Coaching Session

Select from drop down menu

Which pamper treatment would you like to receive (included in price)?

What is your child(ren)’s name?

How old will your child(ren) be at the time of the retreat?

Why are you interested in participating in a Pillars & Stone Parent Retreat?

Have you been on any wellness retreats before?

What are your retreat expectations?

How would you like to feel on the retreat?

How would you like to feel after the retreat?

Please advise of any food intolerances, allergies or dietary requirements for you and your child(dren)

Please advise if you require transport to the retreat? Y/N

Please advise if you require a porta cot (additional cost $30)

Step 2. Select accommodation preference

Step 3. Read and agree to terms & conditions

TERMS AND CONDITIONS

Agree