Sanivan Wellness Intake Form

Thank you for your interest in visiting Sanivan Holistic Retreat. Our goal is to provide the peaceful space and nourishment to help your body function at its best. To design the best retreat for you, it’s important we understand your issues and concerns.  Please fill this form out after making your reservation, before you arrive so that we can customize your retreat to meet your wellness goals. Thank you!

 

LEGAL WAIVER:

By submitting the above form, you acknowledge and agree to the following legal waiver. I am attending this program for my personal interest. I understand that the person(s) teaching and leading this program are not doctors, nurses, registered dietitians, or licensed professionals.  I take full responsibility for my health and health of my family and children and all decisions I make during and following this program. I hereby release and discharge Sanivan Holistic Retreat and its owners from any and all claims that I or my family or hairs, have or may have, now or in the future.  I have read and understood all of the above, and agree to proceed under these conditions. I understand that the above is meant to have a legal significance.