Guest Intake Form This form collects personal, health, and logistical information for safe and personalized support. Step 1 of 3 33% NameThis field is for validation purposes and should be left unchanged.Event DetailsWhich retreat or workshop are you joining?(Required)Please choose your retreatPower of the Pause | Sedona, AZ | April 2026Power of the Pause | Sonoma, CA | November 2026Contact DetailsName(Required) First Last Preferred Name Preferred Name Email(Required) Enter Email Confirm Email PhoneEmergency Contact (Name & Phone Number)(Required)Date of Birth MM slash DD slash YYYY Health & WellnessFood Allergies | Dietary Restrictions | PreferencesPlease share any food allergies, dietary restrictions, or strong dislikes so we can make your meals enjoyable and safe.Physical HealthDo you have any injuries, chronic conditions, or physical limitations we should be aware of? Please let us knowMental HealthDo you have any mental health concerns you'd like us to consider in supporting you?SupportIs there anything that helps you feel safe, supported, or more comfortable in a group setting? Movement ExperienceHave you practiced yoga before? Never Ocassionally Regularly Other Are you comfortable participating in gentle movement classes?Are there any specific goals or intentions you have for this retreat?MovementDo you have accessibility needs or mobility considerations?Are there any additional requests, preferences, or concerns we should know about? Δ
