Golden Hill Retreat Center | Annual Expo

First Name *

Last Name *

Email *

Phone

Have you been to Egypt before? *

What are you seeking? *

Are you able to walk at least an hour *

Are you open to practices such as breathwork, movement, and energy-based experiences? *

How do you typically respond when plans shift or the unexpected arises? *

Are there any physical limitations or health considerations we should be aware of? *

Are you currently taking medications? *

If so, please indicate here. If no medications, type none.

Do you have any dietary needs or restrictions? *

If so, please list

Please list

Do you have a valid passport? *

Passports must be valid 6 months before traveling.

Do you want pricing info? *

Number Attending *

Anything else you would like us to know?

I understand this is a transformational experience and I take full responsibility for my participation.