Retreat form - Otomi Therapy

First Name *

Last Name *

Email *

Number of Guest *

Does it include any children?

Age of all the guest

Interested in *

Note: we have only 4 dates a year for group retreats. However, we welcome you with your friends and family outside of those dates, from 2 to 6 peoples.

Any Special Request?

(special diet, allergies, activity preference or therapy preference)

Would you like to include the onsen in the program? *