Double You Application Form 23 Feb 23 Retreat

Double You Application Form 23 Feb 23 Retreat
*We are sold out. You are invited to apply for our waiting list.*

Should a spot open up, we will contact you in accordance to application dates.

Thank you for taking the time to apply for the Double You experience. The upcoming retreat will take place February 23-25 in Slow•ness, Kibbutz Moran, Israel. Please make sure you answer the following questions mindfully, so we can really get to know you. Filling in the application will prepare you better for the journey and will help us prepare for you.

Feel free to answer in Hebrew in case it's easier for you.

For more details about the retreat: https://www.doubleyou.life/3daysretreat
What is your full name?*

First NameLast Name
What is your email?*
example@example.com
What is your mobile number?*
Please enter a valid phone number.Format: (000) 000-0000.
Where are you currently living? *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
What is your nationality?*
What is your birthdate? *

DayMonthYear
Date
A double you memberA friendFacebook pageInstagramWebsiteRecommended on other facebook groupsOther
Your short bio (biography). Please share a few sentences about yourself (professionally and personally)*
What should we know about you to get a better understanding of who you are? Personally and professionally?
Please answer the following questions A to D
A. Why do you want to join the Double You program? (personal and professional reasons are welcome!)*
B. Is there a specific idea you want to develop during the retreat? If yes, what is it?*
C. Why do you feel this is the right time for you to join us?*
D. How do you see yourself contributing to the community if you will become a Double You member?*
Yes, it would be an honorNot this time
Please share a funny or surprising fact about you
YesNoOther
YesNoOther
Please provide your emergency contact number*
Please enter a valid phone number.Format: (000) 000-0000.
YES, I AM READYNO, I CANNOT AT THIS POINTOther
xssmlxlxxlOther
Lactose intolerantCeliacNut allergyVeganVegetarianNoneOther
YesNoOther
Cancellation policy:

If you cancel your participation a month prior to the retreat - 10% of your total amount will be charged.

Cancellation two weeks prior to the retreat - 50% of your total amount will be charged.

Cancellation 1 week prior to the retreat - 70% of your total amount will be charged.

Cancellation 3 days prior to the retreat - 100% of your total amount will be charged.
Should be Empty: