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Silent Retreat Fall 2026

November 13 to 16, 2026| Location will be determined
Your retreat admission includes:
- Hilot consultation
- Hatha Yoga + Sound bath
- Self-serve snacks
- Lunch + Dinner
- Journal prompts & reflective activities
- Access to a Jacuzzi
Thank you for your interest in joining us for our Weekend Silent Retreat. We’re looking forward to creating a restful, nourishing space for reflection, connection, and restoration.
This registration form collects the information we need to support you during the retreat, including your emergency contact, health and dietary requirements, accessibility needs, and other important considerations.

Full Name

Pronouns

Birthday

Email

What is your occupation?

Instagram Handle (if applicable)

Emergency Contact

Please write their name, your relationship & their phone number. Can this person pick you up in case of an emergency?

Full Name

What is your relationship?

Phone number

Can your emergency contact pick you up (half way) If need be?

What draws you to our silent retreat?

Choose your room!

Most accommodations are in shared rooms. If you choose to share a bed with a friend or partner, 160$ for additional person (shared bed)

What are your dietary restrictions (if any)

Please indicate any of your current/past physical, mental or emotional conditions, allergies, and sensitivities.

Would you be joining the carpool?

Departure location | Snowdon Metro (Blue line) Departure time | 5PM LIMITED SPACE $60

If you are driving to the location, could you offer anyone else a ride? If so, how many people can you take?

Compensation is 50$ per passenger, and will be sent the day of our departure.

Are you interested in OFFERING gifts or services?

You will be in charge of collecting payments and/or issuing receipts (if applicable). We are also open to kitchen helpers!

Are you interested in receiving services during the retreat?

Akhyra & Desiree will contact you directly to schedule your appointments.

What do you expect to gain from this experience?

Important:

Pre Regis: Oct 1, 2026 (250$ deposit optional & refundable*)

Official Registration: Oct 12, 2026 (250$ deposit required. only 50% Refundable)

Registration & Full Payment Deadline: Oct 26, 2026. non-refundable, only transferable
Payment We encourage you to reserve your spot as soon as possible, as space is limited. Payment deadline: October 26, 2026 Deposit deadline: October 12, 2026 Payments can be sent by e-transfer to: r.desire@live.ca
Please make sure your bedding arrangements are confirmed before submitting your payment so we can organize accommodations accordingly. Cancellation & Refund Policy All payments must be completed and are non-refundable, but transferable to another participant. Thank you for taking the time to complete this form and for helping us prepare for a nourishing and intentional retreat experience. We can’t wait to welcome you. ♡

By checking the box below, I declare that the information provided by me is correct & true. If any changes occur, I will inform Desiree Raquepo immediately.