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Retreat Questionnaire

Please fill out this form so we can understand your needs during your stay.

Swim Ability

How would you classify your swim ability?
Have you ever swam in open water?
Have you acclimatised to the cold water?
Have you completed the NOWCA online cold water induction course?

Food and Drink

Medical Conditions

Are you suffering from a medical condition, illness, or injury we need to be aware of?


I am happy for you to take photos and videos of me and use these for marketing purposes


Thank you for submitting this form.

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