Release Retreat - October 2025

Please fill out the following form.

Full Name

Email

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Emergency Contact - Name and phone number

Have you experienced a sound bath or sound healing session before?

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Any physical, emotional, or mental sensitives we should know about?

Any allergies, injuries, or mobility concerns?

Are you comfortable with light touch and the direct application of a tuning fork to send gentle vibrations to specific areas, if applicable?

Yes

No

What inspired you to join the Release Retreat?

What are you hoping to release or shift this weekend?

How would you like to feel by the end of the retreat?

What brings you Joy?

Are you ready?!

Thank you for sharing! Your responses help us to create a session that feels meaningful, supportive and uniquely tailored to your family.

I declare that the information I’ve provided is accurate and complete.

By proceeding, I confirm that I have throughouly read and fully understand and agree to the terms and constions outlined in the following link https://www.mysoundhealth.ca/disclaimer

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Would you like to receive my 11:11 Newsletter, a monthly note with reflections, seasonal insights, and upcoming sound healing events?

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