Mama Name
*
First Name
Last Name
Email Address
*
What is your child's mother tongue?
In the case of more languages understood/spoken please state
Do you or your child have any food allergies, intolerances or dietary requirements?
We will ask for more details closer the date plus children's food likes/dislikes.
Is your child used to being separated from you and looked after by other people?
Please add details by whom and how often?
Have you been on any wellness retreats before?
What do you expect from your Mother & Child Pillars & Stone retreat?
Anything you're struggling with and would like to work on at the retreat?
How would you like to feel on the retreat?
What do you hope to walk away from the retreat with?
How did you find out about Pillars & Stone?
If you have a yoga practice, what style do you like?
You can also add whether you self-practice.
Do you have experience with seated meditation?
If yes, please explain which technique you use and how often.
Any injuries or things we should know about (medications, illnesses)?
Is there anything else we should know?
