3 DAY RETREAT APPLICATION FORM.
Application only- 2026 intake.
LET'S BEGIN THE APPLICATION!
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
E-mail
*
example@example.com
Instagram Handle
*
Which retreat are you applying for?
*
Please Select
Nov 28th-30th 2025
Feb 6th, 7th, 8th 2026
Feb 27th, 28th, Mar 1 2026
April 17th, 18th, 19th 2026
Sept 25th, 26th, 27th 2026
Nov 6th, 7th, 8th 2026
Nov 26th, 27th, 28th 2026
Tell me about you- who are you, what do you do- I wanna know it all.
Tell us about your intention for coming to the retreat- what are you hoping to get out of it, and why do you think this is the retreat for you?
Why is now the right time for you to apply? & if you were to be approved, are you serious about following through?
What are some of the stories/narratives/excuses that come up for you about coming to this retreat?
Do you have any health issues, injuries or dietary requirements?
Do you have any dietary requirements?
PERSONAL DEVELOPMENT RATING- Where are you currently at with your personal development - shadow work, inner child work, ego work etc - What would you rate yourself out of 10 and why? Where do you need more work?
Is there anything else you think we should know?
Which payment plan are you wanting to commit to?
PAY IN FULL
A few months to pay off
I'm not in the financial position to invest, however i really want to come. I'd love to have a chat
SUBMIT APPLICATION
Should be Empty: