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Dietary Requirements & Wellness Form
First Name
Last Name
Email
What is your Dietary Preference?
*
Omnivore/Meat Eater - I eat everything
Meat Eater - No Pork
Pescatarian - I eat fish but not meat
Vegeterian - I do not eat meat or fish
Vegan - I do not eat animal products
Other - please describe below
If 'other' please describe your diet here
Do you have any allergies?
*
Required
Gluten / wheat
Dairy / lactose
Eggs
Peanuts
Tree nuts (e.g almonds, cashews, walnuts)
Shellfish
Fish
Soy
Sesame
Sulphites / sulphur dioxide
Celery
Mustard
Lupin
Molluscs
Strong Dislikes or Foods you avoid?
Food Intolerances?
Do you have any Spiritual, Religious or Cultural Food Considerations?
Halal
Kosher
No Pork Products
No alcohol in cooking or food preparation
Other - please describe below
If 'other' please describe your diet here
What are you hoping to get out of this retreat?
What kind of activities are you hoping for?
What are you hoping for?
Anything we else we should know?
Send
Thanks for submitting!
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