Wild Soul Retreat Registration Form

Full Name

Date of Birth

Email

Phone Number for Whatsapp (with country code)

Emergency Contact + Phone Number (with country code)

Where will you be traveling from?

What inspired you to book this retreat?

How did you hear about this retreat?

Room Options:
Sharing Room (Individual Beds)
Single Room (Private for Yourself)

Which room option would you prefer?

Are you signing up as an International Guest or Kenyan Citizen?

Any physical injuries/ limitations?

Any dietary requirements/allergies?

I Agree To The Terms & Conditions

I Agree To The Terms of Use & Privacy Policy

I Agree To The Wellness Agreement

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