Prenatal retreat spain Request and book your pregnancy retreat by completing the form below.We will contact you to provide more details, answer any questions, and help you reserve your spot. request form NAME & ADDRESS NAME & ADDRESS First name Surname Email Phone number Postal code Street and House number City Country ABOUT THE RETREAT ABOUT THE RETREAT Which RETREAT DATE would you prefer to book? Which RETREAT DATE would you prefer to book? Retreat dates; 23-27 April Retreat dates: 11-15 June Retreat dates: 17-21 September Which ROOM TYPE are you most interested in? Which ROOM TYPE are you most interested in? Shared room Private room ABOUT YOUR PREGNANCY ABOUT YOUR PREGNANCY What is your DUE DATE ? What is your DUE DATE ? Please enter your due date Do you have pregnancy related complaints? Do you have pregnancy related complaints? yes no Yes, my complaints are .... ABOUT YOUR TRAVEL ABOUT YOUR TRAVEL Would you like any help with booking your flight or transfer? Would you like any help with booking your flight or transfer? yes please no, I can book my own flights I have a question concerning my flight: It's recommended to have a cancellation / travel insurance, do you have one? It's recommended to have a cancellation / travel insurance, do you have one? yes, I do no I don't have a cancellation insurance I have a question concerning my cancellation insurance: EXTRA INFORMATION EXTRA INFORMATION Do you follow a specific diet or do you have allergies? Do you follow a specific diet or do you have allergies? yes no If so, please tell us which diet you follow or allergies you have? Do you have injuries or complaints that are not pregnancy related, but that you think we should know about? Do you have injuries or complaints that are not pregnancy related, but that you think we should know about? yes no Which existing injuries do you have? Is there anything else that you would like us to take into account? Is there anything else that you would like us to take into account? yes no Please let us know if there is anything you would like us to take into account... Do you have any other questions? Do you have any other questions? More information, wishes, questions? IN CASE OF EMERGENCIES IN CASE OF EMERGENCIES Name and number of partner in case of emergency PLEASE NOTE: We will contact you for additional information before reserving your spot. PLEASE NOTE: We will contact you for additional information before reserving your spot. SEND REQUEST
