School Wellness Inquiry

School Wellness Day Registration Form

Welcome to the first step towards a healthier, more vibrant school community!

Bienvenue, notre équipe est ravie de vous assister.

By investing in your students and staff's wellness,

you are investing in the success of all!

Please fill out the form below to get started!

First Name *

Last Name *

Phone *

Email *

School Name / School Board *

What are the Primary Goals for registering for a Wellness Program

Students Mental health and Wellbeing

Mindfulness Development

Enhance Positive School Culture

Please give a brief Description of your Wellness Culture if any *

Do you have a Wellness Budget? *

Please describe your Intentions overall and How we Can Support You? *

What grade(s) is this event for? *

Location *

At The Lodge At Lakeshore
At Your Location
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Choose Your Desired Duration? *

1 Hour Workshop
3 Hour Workshop
6+ Hour Wellness Day
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Do You Require Food And Beverages? *

Yes

Choose TWO modalities to include in your Wellness Day:

Mindfulness Fundamentals

Intro to Breathwork

Relaxing Meditation

Gratitude Journaling

Mind-Body Awareness + SEL

Mindful Movement

Sound Healing

Intro to Energy + Self Healing

Other Modalities Or Experiences You Would Like To Include?

Please Enter Your Desired Date(s) *

Number of Participants Attending? *

What language would you prefer the Wellness Program to be facilitated in

Notre équipe est parfaitement bilingue, et nous offrons nos services en français également

English
French
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Post Address and Mail

Email: jenny@thelodgeatlakeshore.com

Address

1258 Essex County Rd 22

Emeryville, ON N0R 1A0

Get In Touch

Phone Number:

519-818-2004

1258 Essex County Rd 22, Emeryville, ON N0R 1A0, Canada

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