Healing Within Retreat

Thank you for your interest in the first annual Healing Within Retreat. We are so excited that you would like to join us! The healing retreat is set for Thursday November 11, 2021 through Sunday November 14, 2021 at Secrets Playa Mujeres in Cancun, Mexico. The purpose of this retreat is address the hidden parts of you that is preventing you from moving forward in life. Specialized trained staff will be onsite to provide tools and ongoing services. All guest will be accommodated in an ocean view preferred club suite. The price: $1999 Single occupancy $1599 Double occupancy. The price includes EVERYTHING except airfare and travel insurance which is $119 due with your deposit. Please complete the details below, as it will help determine if you would be a good fit for this experience. Once you have been accepted you will be asked to pay your deposit immediately. The final payment is due June 1, 2021. Travel insurance is available with this trip in the event you should have to cancel.
Name

First Name Last Name
Date of Birth
E-mail
Phone Number

Area Code Phone Number
Address
Guest #2 Full Name
Date of Birth
Do you have a valid passport or will you have one prior to departure? Will you be willing to get tested for covid prior to attending the event?
Name you prefer to go by?
Are you a U.S. citizen?
Travel Information
Hotel : Secrets Playa Mujeres
Preferred Ocean View- Single $1999
Preferred Ocean View- Double $1599
Are you comfortable in a group setting or do prefer one on one sessions.
Would you be interested in continuing with healing after the retreat is completed? Which resources would be the most helpful for you?
What are you most interested in healing? Are you willing to do the work?
Do you feel like you are a judgmental person? Do you feel the need to have your point proven? Please explain?
Do you have any special needs or mobility issues that would prevent you from attending this event?
Do you suffer with self esteem, anxiety issues or depression?
Are you ready to approach healing the parts of you that hurt?
This event is a judgement free zone and our privacy and protection is the most important to me . A privacy waiver will be signed at the event. Do you agree to this?
Total trip cost is $1999 or $1599 double per person not including air. The non refundable deposit of $250 is due immediately upon acceptance to the event. The final payment is due June 1. 2021. Please type YES to confirm.
Would you be interested in purchasing insurance? This can protect you in the need of cancellations and more. It will be offered at the cost of $119.
I acknowledge that I have read this registration form completely and the information I provided is accurate. I understand that my deposit is non-refundable and other cancellation penalties may apply depending on the cancellation date. I understand that if my roommate (s) cancel, my rate will change. I understand that all monies must be paid by the final payment date of June 1 2021. If any balance is left unpaid, my room will be canceled immediately. Prices for reinstated rooms maybe higher than initial rate and a $50 reinstatement / administration fee will be charge by Brown Girls Travel regardless of the cancellation date. This contract is for the hotel, airport transfers, healing within certified staffing and all meals and drinks that are offered with the all inclusive program. Flights are not covered; however, flight information must be provided by August 1, 2021 for the use of transfers. Brown Girls Travel is not responsible for guest errors or omissions.
Do you agree to the terms and conditions
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Travel Information