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 * Preferred package * Restore Wellness ($350) Relax and Learn ($150) Preferred hydrotherapy treatment – pick one * Sauna Infrared Sauna Allergy Spray Full Body Whirlpool Preferred practical class * Natural Products Class (Tuesdays) Cooking Class (Wednesdays) Bread Making Class (Mondays) Preferred date * Select dateTuesday, July 16, 2024Wednesday, July 17, 2024Monday, July 22, 2024Tuesday, July 30, 2024Wednesday, July 31, 2024Monday, August 05, 2024Tuesday, August 13, 2024Wednesday, August 14, 2024Monday, August 19, 2024Tuesday, August 27, 2024Wednesday, August 28, 2024Monday, September 02, 2024Tuesday, September 10, 2024Wednesday, September 11, 2024Monday, September 16, 2024Tuesday, September 24, 2024Wednesday, September 25, 2024Monday, September 30, 2024Tuesday, October 08, 2024Wednesday, October 09, 2024Monday, October 14, 2024Tuesday, October 22, 2024Wednesday, October 23, 2024Monday, October 28, 2024Tuesday, November 05, 2024Wednesday, November 06, 2024Monday, November 11, 2024Tuesday, November 19, 2024Wednesday, November 20, 2024Monday, November 25, 2024Tuesday, December 03, 2024Wednesday, December 04, 2024Monday, December 09, 2024Tuesday, December 17, 2024Wednesday, December 18, 2024Monday, December 23, 2024Tuesday, December 31, 2024Wednesday, January 01, 2025Monday, January 06, 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.
