Azur Wellness

6 Day Retreat

Booking Form 6 Day Retreat

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Please choose which dates you would like to stay with us:

First name

Surname

Address

Postal Code

Town

Phone number

Date of Birth

Height (cm)

Weight (kg)

Gender

About your fast

Is this your first fast?

What is the main reason you have chosen Azur Wellness for your health retreat?

Do you have any allergies?

Comments or special needs (optional)

Are you travelling with a friend? If yes, please let us know their name(s): (optional)

The detox I will do

Accommodation you would like:

Confirmation & Payment

Emergency contact name and phone number

I confirm that I am in good health and able to walk for a minimum of 3 hours.

I Confirm

I confirm that I do not have any of the following that are contra-indications to fasting : Anorexia, auto-immune disorders, under age of 18, decompensated hypothyroidism, extremely underweight, liver insufficiency, pregnant or lactating, renal insufficiency, retinal detachment, stomach or duodenum disorders, type 1 diabetes or tumors.

I Confirm

As a participant, if is my sole responsibility to check with the competent medical authorities that my physical and mental condition is compatible with a detoxification diet such as fasting, juicing or monodiets for the requested duration of the stay.

I Confirm

Please indicate if you are undergoing treatment for any medical conditon/s and please provide a compulsory medical certificate indicating you are able to fast or juice and do daily hikes. (optional)

I confirm my statement to be sincere and truthful and release Christine Paul and Azur Wellness from any responsibility in this regards. I also agree to notify any changes in my health situation that may occur before my stay.

I Confirm

A deposit of 450€ is required to reserve your 6 day retreat.

I Agree

CANCELLATION POLICY: Transfer to another program 30 days or more before the start date there is no charge, less than 30 days there is a 25€ admin charge. Complete Cancellation more than 30 days before the start date there is a 25€ admin charge, less than 30 days is loss of the deposit. Azur Wellness reserves the right to cancel any retreat and will re-imburse the participants payment in full.

I agree

PROMO CODE: (optional)

Date

Mar 18 – 24 2023

A Typical Day

8:30
Wake up warm lemon water,/tissane

9:00 – 9:30
Morning stretch

9:30
Morning juice

10:00 – 12:30
Morning hike

12:30 – 16:30
Free time – book a massage, sauna, reading, relaxing by pool

16:30 – 17:30
Yoga class

18:00
Vegetable broth

18:30 – 19:30
Evening talk/workshop

19:30
Free time – movie, reading, or early to bed!

What’s included in the package:

Deluxe suites (accommodation)

All juices, teas, broths and foods (including celebratory lunch!)

Fasting Preparation Guide

Expert support from your host

Daily guided hikes, daily stretch/self-massage & 3 x yoga classes

Use of private sauna & pool

Culinary workshop.

The 6 day retreat starts on Saturday afternoon and ends Friday lunchtime.

Prices

BUCHINGER WATER FAST:
Shared Room €995 / Private Room €1250

JUICE FAST:
Shared Room €1050 / Private Room €1300

INTERMITTENT FAST:
Shared Room €1050 / Private Room €1300

Azur Wellness

6 Day Retreat

Booking Form 6 Day Retreat

About your fast

Confirmation & Payment

Date

A Typical Day

What’s included in the package:

Prices

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