, Nutrition, Mind & Spirit, Movement, Community

Congratulations, you’ve made an investment in yourself!

We’re looking forward to spending the weekend together. In the meantime, make sure to fill out the form below so that we can make this an unforgettable experience for you.

All Love,

Erica and Monica

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

We might send you a text with last minute details if necessary.

(###)

###

####

Dietary Requirements

Tell us about your current movement practice

What type of exercise do you currently partake in and how often? Would you consider yourself active?

Do you have a meditation practice and if so, what is it like?

How often do you meditate and for how long? Do you follow a certain style of meditation?

Do you have any medical concerns that you would like us and our instructors to know about?

What is your birthdate, location and exact or approximated time?

We'll have a photographer at the event. Are you cool with being in pics for us to use in future marketing?

Yes!

No!

Something else on your mind? Lay it on us!

, Nutrition, Mind & Spirit, Movement, Community

, Nutrition, Mind & Spirit, Movement, Community

Congratulations, you’ve made an investment in yourself!

Synergy Social Wellness, LLC.

250 Gorham Street, Canandaigua, NY 14424

ph: 315.651.6289