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Enlighten Retreats Application Form
Thank you for applying for our Retreats,
12
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1
Name
First Name
Last Name
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2
Email
example@example.com
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3
Phone Number
Area Code
Phone Number
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4
Which Retreat are you feeling you would like to apply for?
Reconnect Retreat
Emerge Retreat
Unsure
Both
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5
Have you been to a retreat before?
YES
NO
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6
If yes, which retreat and how was your experience?
(skip question if you haven't attended a retreat before. Or you do not wish to answer)
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7
Are you seeking more..
Self-love
Empowerment
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8
Are you seeking more..
Self worth
Confidence
Self Connection
Resilience
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9
Which are you seeking more of..
Healing the past
Awareness on future
Connection with others
Time with myself
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10
Are you seeking more..
Tools to support mental health
Guidance on intuition and manifestation
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11
Describe where you feel you are in life at this moment in time.
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12
Were you referred by someone who has previously attended one of our retreats?
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