COUPLES RETREAT We are so excited for you & your partner to join us on this journey! Tell Us More About you… Partner B Name * First Name Last Name Email * Phone * (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country Date of Birth MM DD YYYY Emergency Contact * First Name Last Name Emergency Contact * Phone (###) ### #### What are your hopes for the retreat? What brings you joy? What do you think brings your partner joy? What is your partners favourite scent or smell? ie roses, citrus, pine trees What is your partners favourite chocolate or treat? What is your partners favourite colour? What is your partners favourite song? If by some very real magic were to occur over the weekend, and your relationship has strengthened, what might you be feeling and what might be a sign of this growth? eg. Connected, I would feel heard. Please be advised that some images may be taken for use in marketing & social media. By agreeing to attend the retreat I give permission to use the images unless express written notification is provided. Thank you for submitting your form, we look forward to connecting with you soon. Have a wonderful day.Warm RegardsTHE BEAR HAVEN
