Request Invitation

Begin your conversation.

Places are limited and intentional. Complete the registration below and our team will respond personally within 48 hours to hello@rootedwellnessretreat.com.

Your details

First Name *Last Name *

Date of BirthGender

AddressStreet AddressStreet Address Line 2

CityState / Province

Postal / Zip CodeCountry

Contact

Phone Number *E-mail *

Instagram Handle

Your retreatRetreat of Interest

Room Type *

Single Room, 1 person (Full Payment)Single Room, 1 person (Deposit)Double Room, 1 person (Full Payment)Double Room, 1 person (Deposit)

The package for a double room is priced per person. If you have a partner or friend with whom you would like to share your double room, each person must purchase a package for the retreat.

Dietary LifestyleT-Shirt Size

Describe your yoga / wellness practiceAnything else we should know?

I agree to the terms & conditions of registration and understand spaces are limited and confirmed upon receipt of deposit.Signature (type your full name) *By signing above, you acknowledge and agree to be bound by the terms and conditions of this registration.

Prefer email? Write directly to hello@rootedwellnessretreat.com.