Living Lemuria Application

Living Lemuria

Application for Participant Registration
Thank you for being interested in Living Lemuria! It is an online seminar and retreat immersion into the wild medicines of Hawaii that inspire a magical ancestry within the lineage of Song of Sophia.

Please be patient with us as we lovingly review each application. We will respond to your application between 1-5 days from now, and appreciate your calling to be here with us. Many blessings on your path. Aloha ~
Name: *

First Name Last Name
Age *
Magical Lineage / Training *
Do you want to be a long-term student in Song of Sophia? *
What inspires you about the Living Lemuria Immersion? *
What is your background in plant medicine? *
What do you hope to receive during the immersion? *
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
E-mail *
example@example.com
Phone Number *
Have you worked with Eliza before? *
Do you have any health concerns? *
Payment Options
Are you applying for a scholarship position *

Yes No
If yes, please share a bit about your qualifications for scholarship
If the scholarship positions are filled, are you still interested in participation?

Yes No
Which tier of accommodation do you desire? *

Scholarship Jungle Shala Shared Suite for 2 Private Room / Shared Bathroom Private Cottage
If you are applying for the Shared Suite for 2, who are you applying with?
How do you plan to pay? *

One Payment Payment Plan; all paid by October 6
Do you understand that although we are practicing trauma-informed shamanic journey techniques that this retreat is not a replacement for trauma therapy. If you have significant un-resolved trauma, this retreat is not for you. *

I understand I don't understand
Please select which of the following you have to help support your transformative experiences *

Supportive household and family life Supportive partner Supportive friends Wise women community Good relationship with a trauma therapist In active therapy that has been successful Strong sense of self
Is there anything you want to share or that we need to know?
Do you understand that we require all participants to provide their own travel insurance? In an emergent (unlikely) event that the retreat would be canceled, it would be the responsibility of your insurance to provide anything that we would not be able to give back due to unforeseeable or uncontrollable losses. (Travel Guard is a reliable, easy, and cost effective option) *

I will provide my own insurance No
We recommend arriving at least 1 day earlier to Hawaii before December 3 to acclimate to the Island energies. We pick up all participants on Dec 3 at 12pm at Hilo International Airport and departure is on Dec 9th at 2pm for drop-off at the same place. The airport is about an hour away from the retreat center. Do not book travel arrangements until you are guaranteed a place in the retreat. *
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Living Lemuria

Thank you for being interested in Living Lemuria! It is an online seminar and retreat immersion into the wild medicines of Hawaii that inspire a magical ancestry within the lineage of Song of Sophia.

Payment Options