Paradise Wellness Registration Packet - January 19, 2015

Paradise Wellness Registration Packet

WELCOME TO PUERTO RICO!


We are so excited that you have taken the time to take care of you. Getting away from the pressures of life is so vital to recharge. We are honored that you have chosen Paradise Wellness to escape to and enjoy and learn about the abundance of living a healthy lifestyle. We find that the world is moving toward a healthier regime and incorporating as much alkalizing enzyme rich food is going to be the ideal way to maintain health and fight disease.

All we ask is that you go with the flow, ask lots of questions, be honest with your body, and listen to Nature!

Peace

Skai Juice

Paradise Wellness

PARADISE WELLNESS REGISTRATION AND HEALTH FORM

This form will provide us with insight about your current state of health.

Name_Name

Address_Address

Telephone #_Telephone #

Email_Email

Date of Birth_Date of Birth

Occupation_Occupation

Diet Information: Breakfast, Lunch, Dinner, Snacks.Please describe your typical diet and give us an idea of what you eat. Include beverages. Vegetarian, Meat Eater, Flexitarian, etc._Diet Information

Alcohol Yes No Frequency_Alcohol

Coffee Yes No Frequency_Coffee

Caffeinated Tea Yes No Frequency_Caffeinated Tea

Bread Yes No Frequency_Bread

Tobacco Products Yes No Frequency_Tobacco Products

Sodas Yes No Frequency_Sodas

Milk/Cheese/Dairy Yes No Frequency_Milk/Cheese/Dairy

Soy Products Yes No Frequency_Soy Products

Baked Goods Yes No Frequency_Baked Goods

Sugar Yes No Frequency_Sugar

Are you presently taking over the counter medication? Recreational Drugs?

If yes please list_Are you presently taking over the counter medication? Recreational Drugs?

Are you presently taking any prescription drugs?

If yes, List_Are you presently taking any prescription drugs?

Do you experience side effects from prescription drugs?

If yes, List_Do you experience side effects from prescription drugs?

Do you have any allergies? Yes or No

If yes list_Do you have any allergies? Yes or No

Reactions_Reactions

Inhaler Yes No Frequency_Inhaler

Do you experience brain fog, dizziness or drowsiness? Yes No Frequency_Do you experience brain fog, dizziness or drowsiness?

What dates would you like to visit?_What dates would you like to visit?

What type of retreat is it?_What type of retreat is it?

What are your expectations?_What are your expectations?

What emotional stressors do you need to release while you are here, if any?_What emotional stressors do you need to release while you are here, if any?

Please note that Paradise Wellness is an island rejuvenation retreat; we are NOT a clinic or medical facility. We do not offer medical advice or intervention and we have no medical doctors on site; however we can make arrangements for you to visit a local physician or emergency medical facility if you find it necessary.

If you currently have a medical condition, please consult your physician to determine if our programs are appropriate for you. You will be required to sign a disclaimer releasing Paradise Wellness from any responsibility for any health conditions you experience, pre-existing or otherwise.

We require a NON REFUNDABLE 50% deposit at time of booking and the balance two weeks before your scheduled retreat. Much goes into the planning of your wellness experience and we cannot offer a cash refund. If you are unable to attend your scheduled retreat, you may come at any time later up to one year. We accept payment by credit card via Pay Pal.

I have read and understand the above terms of my stay at Paradise Wellness in Luquillo, Puerto Rico.

Name_Name

Signature_Signature

Date_Date

Emergency Contact Info

Please contact_Please contact

Relationship_Relationship

Phone number_Phone number

City, ST_City, ST

PARTICIPANT AGREEMENT, RELEASE AND ASSUMPTION OF RISK

In consideration of the services of Paradise Wellness, its agents, owners, officers, volunteers, participants, employees, and all other persons or entities acting in any capacity on its behalf, I hereby agree to release, indemnify, and discharge Paradise Wellness, on behalf of myself, my spouse, my children, my parents, my heirs, assigns, personal representative and estate as follows:

  1. I expressly agree and promise to accept and assume all of the risks existing in this activity. My participation in this activity is purely voluntary, and I elect to participate in spite of any risks.
  2. I hereby voluntarily release, forever discharge, and agree to indemnify and hold harmless Paradise Wellness from any and all claims, demands, or causes of action, which are in any way connected with my participation in this activity or my use of the equipment or facilities of Paradise Wellness, including any such claims which allege negligent acts or omissions on the behalf of Paradise Wellness.
  3. Should Paradise Wellness, or anyone acting on its behalf, be required to incur attorney’s fees and costs to enforce this agreement, I agree to indemnify and hold it harmless for all such fees and costs.
  4. I certify that I have adequate insurance to cover any injury or damage I may cause or suffer while participating, or else I agree to bear the costs of such injury or damage myself. I further certify that I am willing to assume the risk of any medical or physical condition I may have.
  5. In the event that I file a lawsuit against Paradise Wellness, I agree to do so solely in the commonwealth of Puerto Rico, and I further agree that the substantive law of Puerto Rico shall apply in that action without regard to the conflict of law rules of that commonwealth. I agree that if any portion of this agreement is found to be void or unenforceable, the remaining document shall remain in full force and effect. I agree that any action against Paradise Wellness will be resolved in the exclusive jurisdiction of the superior court of San Juan.

By signing this document I acknowledge that if anyone is hurt or property is damaged during my participation in this activity, I may be found by a court of law to have waived my right to maintain a lawsuit against Paradise Wellness on the basis of any claim from which I have released them herein.

I have had sufficient opportunity to read this entire document. I have read and understand it, and I agree to be bound by its terms.

Signature of Participant:_Signature of Participant:

Print Name:_Print Name:

Address:_Address

Phone #_Phone #

Email address:_Email address:

Date:_Date:

WHAT TO BRING

Our packing list includes what to bring not only to enjoy your stay here at Paradise Wellness, but also should you decide to embark on any other ventures around Puerto Rico.

Our wish is to prepare you for the most memorable healing vacation of your life, and assist you to prepare ahead. Once you have prepared well for your inner healing journey, you can leave your rational mind behind, and really let go! We have compiled a list of items that we wouldn't leave home without! Our weather can change rapidly and it tends to be warm during the day when the sun is up, and a little chilly when it goes down. It can rain at any moment, due to the fact that we are located less than a mile from the rainforest. But the rain usually lasts for a short while.

Preparing your luggage:

Always place an identifiable marker on your luggage (red polka dot ribbon, etc.) Compile your Health Insurance Information on your person, for travel and to have available should we need for your health safety.

Planning your wardrobe:

For all of your activities you will only need the most basic set of items. Always be prepared. Your length of stay, will affect the amount to pack, but remember that you will have access to our on-site laundry room so don't over pack! Remember to keep it simple. And should you need any additional items, there is a local Walgreens and Kmart a few miles away.

Here is an ideal list of things to pack:

Sandals or Flip flops

Hiking shoes, Lightweight with traction, able to get wet OR

Athletic Shoes, a pair of comfortable sandals (sandals that allow for walking in water is handy for hiking)

Casual Comfortable Clothing (Island Wear): Shorts, Tees, Light pants, Summer Dresses

Light Jacket

Athletic wear of choice (sports bra for yoga and stretching)

Swimsuit

Bathrobe, optional

Brim hat for sun protection

Sunglasses

Day-pack/Beach Bag

Bathing Suit

Beach Towel

Miscellaneous

Cell phone and charger, toiletry bag, RX medications, herbal remedies, vitamins, Camera and battery back-up/charger, Journal and writing utensils, reusable water bottle,all natural mosquito spray or oils, preferably with no chemicals, and all natural sunblockand sunscreen. Bring pictures of your family and friends…makes for great conversations. You can also bring your Laptop for personal web use...we have wireless internet.

Out of consideration to those around you, and your own inner peace, we recommend that our guests need not bring the following items:


Perfumes, and synthetic hair or body products, aerosols, jewelry and other valuable. All your cosmetics should be all-natural, containing no parabensand unnecessary chemicals. Let us know if you need suggestions.

Paradise Wellness Transition Program

One to two weeks before you will be in sunny Puerto Rico, hiking in the rainforest, swimming at the beach and consuming a 100% raw and living foods diet, you will need to transition away from the standard fare you are most familiar with. This will aid in your ease into our program. Detox will be lighter and your appetite will be less voracious for the “other” foods. Once you get here, our meals are nourishing and quite filling even though you will feel much lighter than usual. In addition your body will begin to cleanse and detoxify with this lifestyle change, which is a wonderful way to ease into the new healthier you.

Regardless of your eating style, please take at least one week to “transition” and prepare your body for your all raw experience. Please begin by:

  1. Reducing your intake of animal and animal by-products. Eat smaller portions of these products and during the next 7 days try to go at least 4 days on a vegetarian meal plan.
  1. Consume lots of produce, fresh fruits and vegetables (always ORGANIC when POSSIBLE), whole grains, legumes, sprouts and everything else in moderation. Don’t focus so much on calorie counting; just consume wholesome, nourishing foods.
  1. Each morning drink a glass of filtered water with fresh lemon juice to cleanse the liver. Afterwards consume lots of fresh fruit for breakfast.
  1. Eat like a Prince for Breakfast, a King for Lunch and a Pauper for
    Dinner. Translation: Consume your heaviest meals for breakfast or lunch and always eat light in the evening. Salads are a great evening meal.
  1. Substantially reduce your intake of processed/packaged foods; specifically sweets/desserts. Substitute white and brown sugar for dried cane juice, maple syrup, stevia, honey or agave nectar.
  1. Do some type of exercise if you do not already on a regular basis. Walk to work if possible, take the stairs instead of the elevator, or go to the gym and do at least 30 minutes of cardiovascular activity, strength training and ALWAYS stretch as much as possible.
  1. In the AM when you wake up don’t be so quick to jump out of bed. Spend at least 10 minutes lying on your back and taking long deep cleansing inhalation and exhalation breaths. Eventually slow your breathing to “normal” and do positive visualization affirmations. (I am vibrantly healthy and radiantly beautiful. Today IS a beautiful day. I am lovable and beautiful. Abundance is my natural state of being and I accept it now. It’s OK for ME to have everything I want. GOD/The Universe is showing me the way now. I am going to have a fabulous and amazing experience in Puerto Rico…)
  1. Speak in a quiet and gentle tone and when dealing with difficult situations ALWAYS focus on the LESSON and NOT the TEACHER, if not the “Teacher” will show up again and again in your life.
  1. Refer to the suggested packing list. We tend to wear our favorite items again and again, so keep this in mind when packing. We do have a washing machine available and a clothes line to dry your clothes in the open air and the sunshine is refreshing for your garments.
  1. Come with an open heart and open mind.

ASHE! (and so it is!)

skai

Sample Retreat

Raw Food and Juicing Adventure in Puerto Rico

www.paradisewellnesspr.com

Friday, Dec 27, 2013

Afternoon

  • Arrival
  • Smoothie Snack in Pinones
  • Check In

Evening

  • Dinner

Saturday, Dec 28

Morning

  • Smoothie Breakfast
  • Yoga with Iris

Afternoon

  • Lunch
  • Hike with Geronimo

Evening

  • Dinner
  • Reggae Show

­­­­Sunday, Dec 29

Morning

  • Smoothie Breakfast
  • Yoga
  • Farmer’s Market

Afternoon

  • Lunch
  • Chill Out

Evening

  • Dinner

Monday, Dec 30

Morning

  • Smoothie Breakfast
  • Yoga

Afternoon

  • Lunch
  • Chill Out
  • Drive to Maunabo

Evening

  • Dinner
  • Film

Tuesday, Dec 31st

Morning

  • Smoothie Breakfast
  • Yoga

Afternoon

  • Lunch
  • Beach time (weather permitting)

Evening

  • Dinner

Wednesday, Jan 1, 2014

Morning

  • Smoothie Breakfast
  • Morning Yoga

Afternoon

  • Lunch
  • Horseback Riding

Evening

  • Dinner

Thursday, Jan 2

Morning

  • Smoothie Breakfast
  • Morning Yoga

Afternoon

  • Off to the Airport

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