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Application Form - The Journey Home Women’s Retreat - Barakah’s Womb

Fes, Morocco, 18th to the 22nd of September 2025
Full name*

First NameLast Name
Birth Date*

DayMonthYear
Address*

Street Address

Street Address Line 2

CityState

Post CodeCountry
E-mail*
Phone Number*
Emergency contact*

First NameLast Name

	Yes	No
Are you currently taking any prescribed medication?*
Do you have muscle or joint problem that could worsen by a change in your physical activity?*
Are you physically healthy to be able to walk up steep terrains?

Do you have any dietary requirements/allergies?*
Will you be attending with someone you know? If so please name them below.*
This retreat has been curated to provide an inner spiritual, physical, emotional & mental healing journey in the sacred city of Fes. Understanding that this program is an inward journey of self reflection is crucial when it comes to benefitting. Tell us who you are, why you would like to attend/your personal intentions… *
Do you have any experience with meditation and womb healing and if so please tell us a bit about your experience… (This is not a prerequisite)*
Please leave any additional queries/questions/requests below*
Our photographer will be taking portraits/images/videos of the retreat. Are you comfortable with being in the content? By choosing yes you give Barakah's Doula the permission to share the images on our website and/or social media accounts*
Thank you. You will be contacted to book your place upon acceptance of your application.
If you have any questions that you wish to discuss prior to participating in the retreat, please do so before committing yourself to the program. Facilitators will review each application before acceptance. Once accepted you will be emailed the payment details and your place will be secured.
Please note* that your place on the retreat is not secured without the complete payment of £600

Flight tickets are not included in the course price. More flight details will be available once you have been accepted onto the retreat.

By signing this application I realize that retreats held by Barakah's Womb require my mental and physical health and I certify that I am fit to undertake it. I will not hold Barakah's Womb or any member of the retreat team liable for any loss, damages, or personal mental, physical, or emotional injury on the retreat. I understand a 600 payment will be made to ensure my place.
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Application Form - The Journey Home Women’s Retreat - Barakah’s Womb