Re-Mothering for Re-Wilding 2027 — Accepted Participant Registration & Payment

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What are your social media handles?

Have you ever attended a retreat before? Where and when?

Did you have a good experience

If no, what could have been better?

What inspired you to attend a retreat now?

What would you most like to get out of this retreat?

Please tell me a little bit about yourself and your experience with meditation/journeying & sound healing, if any.

If you don't have experience, ask any questions.

Do you have any health issues or mobility limitations?

What is your level of fitness?

How would you describe your travel personality?

Other

Are you traveling solo or with friends?

Are you afraid of heights?

Other

What patterns have you noticed in your family lineage that you want to start healing?

What do you want to get out of this retreat?

This is an all inclusive 6 nights 7 days international retreat in Costa Rica at Selvatica Eco Retreat Center.

All meals will be provided starting with dinner on Sunday May 9.2027, and Breakfast on Saturday May 15, 2027 before check out. Meals are gourmet vegan with one night of seafood provided. Preparerd by co-owner and certified dietitian Cristina Provone. Tea, Coffee and water are also provided all day in the cafeteria. Transportation to and from the airport provided.

Wednesday night there will be an option to take time to yourself or have dinner with me and other participants at a local restaurant.

Please check dietary needs below.

Dietary Restrictions:

If yes to food allergies, what are you allergic to and do you have an epi pen or other medication?

Would you be interested in participating in Yoga morning practice?

There will be pictures and video taken on one day of the retreat, are you ok with being photographed or recorded?

How did you hear about this retreat?

If referred by a friend, who referred you?

Would you be interested in additional spa services not included in the price of the retreat?

You can save your spot with a non-refundable $500 or you can pay in full and save $300 with early bird pricing until November 15, 2026 or when the first 4 spots are filled. Below there is an option to use Afterpay if approved.

If you would like a seperate payment plan please contact me via email: 4wholehearthealing@gmail.com. I can arrange a monthly payment plan or weekly payment plan if needed. All personally arranged payment plans will be made through Venmo, cash or check.

There are two single occupancy options as well as shared accommodations. The shared accomodations gives you a chance to build community and sisterhood as well as nurture your inner child by allowing her to be at her first super fun and not weird slumber party in a long time!

Below are the 6 different payment methods, including Afterpay to claim your spot at this life changing retreat. All meals will be provided except on Wednesday where there will be option to go to dinner with host and other participants.

Deposit to save you spot is non-refundable, please read and sign the cancelation policy provided.

**Please Note: Deposit is paid via Venmo, Paypal or Check**

Travel insurance is required!

You can also use these payment methods:

Venmo: @Jessica-Alejandro-5

PayPal: @jalejandro77

Email me at 4wholehearthealing@gmail.com if using these payment methods.

My Products

$500 deposit via Venmo-Non-Refundable Deposit. $500 non-refundable deposit paid via Venmo saves your spot at this magical retreat. This will be deducted from the price of the retreat. An invoice with the remaining balance will be sent to you after deposit is processed.

$500 deposit via Venmo-Non-Refundable DepositFree

$500 non-refundable deposit paid via Venmo saves your spot at this magical retreat. This will be deducted from the price of the retreat. An invoice with the remaining balance will be sent to you after deposit is processed.

EARLY BIRD: After $500 Deposot Balance Shared Room. All inclusive 6 nights 7 day retreat. Luxury eco Shared accommodations with en-suite bathroom. All meals, excursions and transportation included. Payment Plan available. 11/15/26 Price will increase to $2800.

EARLY BIRD: After $500 Deposot Balance Shared Room$2,000.00

All inclusive 6 nights 7 day retreat. Luxury eco Shared accommodations with en-suite bathroom. All meals, excursions and transportation included. Payment Plan available. 11/15/26 Price will increase to $2800.

EARLY BIRD PRICING UNTIL NOVEMBER 15, 2026: AFTER $500 Deposit Balance King Bed Single Occupancy 2. All inclusive 6 nights 7 day retreat. Luxury eco Single accommodations with en-suite bathroom. Only two available! All meals, excursions and transportation included. Payment Plan available. After 11/15/26 Price will increase to $3300. Can also be a shared room with two twin beds same price per person as triple accommodation above.

EARLY BIRD PRICING UNTIL NOVEMBER 15, 2026: AFTER $500 Deposit Balance King Bed Single Occupancy 2$2,500.00

All inclusive 6 nights 7 day retreat. Luxury eco Single accommodations with en-suite bathroom. Only two available! All meals, excursions and transportation included. Payment Plan available. After 11/15/26 Price will increase to $3300. Can also be a shared room with two twin beds same price per person as triple accommodation above.

Quantity

PAY IN FULL EARLY BIRD UNTIL November 15, 2026: All Shared Rooms-Double, Triple or 5 per room (full bed or twin bed). All inclusive 6 nights 7 day retreat. Luxury eco Shared accommodations with en-suite bathroom. This is for a queen bed upper or lower. Stairs to get to top beds. All meals, excursions and transportation included. Payment Plan available contact me for link & details. After 11/15/26 Price will increase to $2800.

PAY IN FULL EARLY BIRD UNTIL November 15, 2026: All Shared Rooms-Double, Triple or 5 per room (full bed or twin bed)$2,500.00

All inclusive 6 nights 7 day retreat. Luxury eco Shared accommodations with en-suite bathroom. This is for a queen bed upper or lower. Stairs to get to top beds. All meals, excursions and transportation included. Payment Plan available contact me for link & details. After 11/15/26 Price will increase to $2800.

PAY IN FULL EARLY BIRD PRICING UNTIL NOVEMBER 15, 2026: King Bed Single Occupancy . All inclusive 6 nights 7 day retreat. Luxury eco Single accommodations with en-suite bathroom. Only two available! All meals, excursions and transportation included. Payment Plan available. After 11/15/26 Price will increase to $3300. Can also be a shared room with two twin beds same price per person as triple accommodation above.

PAY IN FULL EARLY BIRD PRICING UNTIL NOVEMBER 15, 2026: King Bed Single Occupancy $3,000.00

All inclusive 6 nights 7 day retreat. Luxury eco Single accommodations with en-suite bathroom. Only two available! All meals, excursions and transportation included. Payment Plan available. After 11/15/26 Price will increase to $3300. Can also be a shared room with two twin beds same price per person as triple accommodation above.

Quantity

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