Day-Long Session First Name * Last Name * Prefix * Mr.Mrs.Ms. Date of Birth * Age * Address Address * City * State * Zip/Postal * Country * Email * Phone * Weight * Height * Gender * Male Female Current health issues * If diabetic, last fasting blood glucose reading If hypertensive, last blood pressure reading Food allergies * Program Options * Non-Residential 1-Day ($150) Optional Provider Appointment * Yes (+$200) No Preferred hydrotherapy treatment – pick one * Sauna Infrared Sauna Allergy Spray Full Body Whirlpool Preferred practical class * Cooking Class (Tuesday, Wednesday, Thursday) Bread Making Class (Monday) Preferred date * Select dateWednesday, May 21, 2025Thursday, May 22, 2025Monday, May 26, 2025Tuesday, May 27, 2025Wednesday, June 04, 2025Thursday, June 05, 2025Monday, June 09, 2025Tuesday, June 10, 2025Wednesday, June 18, 2025Thursday, June 19, 2025Monday, June 23, 2025Tuesday, June 24, 2025Wednesday, July 02, 2025Thursday, July 03, 2025Monday, July 07, 2025Tuesday, July 08, 2025Wednesday, July 16, 2025Thursday, July 17, 2025Monday, July 21, 2025Tuesday, July 22, 2025Wednesday, July 30, 2025Thursday, July 31, 2025Monday, August 04, 2025Tuesday, August 05, 2025Wednesday, August 13, 2025Thursday, August 14, 2025Monday, August 18, 2025Tuesday, August 19, 2025Wednesday, August 27, 2025Thursday, August 28, 2025Monday, September 01, 2025Tuesday, September 02, 2025Wednesday, September 10, 2025Thursday, September 11, 2025Monday, September 15, 2025Tuesday, September 16, 2025Wednesday, September 24, 2025Thursday, September 25, 2025Monday, September 29, 2025Tuesday, September 30, 2025Wednesday, October 08, 2025Thursday, October 09, 2025Monday, October 13, 2025Tuesday, October 14, 2025Wednesday, October 22, 2025Thursday, October 23, 2025Monday, October 27, 2025Tuesday, October 28, 2025Wednesday, November 05, 2025Thursday, November 06, 2025Monday, November 10, 2025Tuesday, November 11, 2025Wednesday, November 19, 2025Thursday, November 20, 2025Monday, November 24, 2025Tuesday, November 25, 2025Wednesday, December 03, 2025Thursday, December 04, 2025Monday, December 08, 2025Tuesday, December 09, 2025Wednesday, December 17, 2025Thursday, December 18, 2025 How did you hear about us? * Facebook, Instagram, Whatsapp Flyer Mail in Flyer Poster Email OtherOther Would you like to get our free newsletter? * Yes No 🌿 Wildwood Newsletter - Plant-based Recipes and Health Tips Friend's name * Submit If you are human, leave this field blank.
