Wealthy Being Retreat Travel Form

Participant Travel & Wellness Form

- All participants must be 18 years or older.
- Minors (under 18) may only attend if accompanied by a registered adult sponsor.
- All information is confidential and used solely for retreat planning and wellness support.

Full Name (as shown on ID/passport)

Preferred Name or Nickname

Date of Birth

Email Address

Phone Number

Country

City

Depature Airport

Arrival Airport

Will you need Travel Assistance or Coordination?

Departure Date

Arrival Date

Do you need shuttle transportation from the airport to the retreat site?

Do you prefer a single room or are you open to sharing a room?

Do you have any special accommodation requests?

Are you bringing a companion?

Please list their name(s)

Do you have any dietary restrictions or food allergies

Do you follow a specific diet (e.g. vegan, keto, halal)?

Do you have any medical conditions or physical limitations we should be aware of?

Are you currently taking any medications?

What are your personal goals or intentions for this retreat?

Are there specific workshops or sessions youre most excited about?

Have you participated in a wellness retreat before?

where?

Massage TherapyPrivate Coaching SessionGroup Excursion/Nature TourDetox Cleanse PlanMorning Movement (Yoga, Qi Gong)

Is there anything else youd like us to know in order to support your journey