RETREAT- APPLICATION FORM
Application only- 2024 / 2025 intake.
LET'S BEGIN THE APPLICATION!
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
E-mail
*
example@example.com
Instagram Handle
Which retreat are you applying for?
*
Please Select
August 9th-11th, 2024
Feb 28th - Mar 2nd 2025
May 16th - 18th 2025
Future 2025 dates
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?
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?
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 looking for?
PAY IN FULL
A few months to pay off
As long as possible
Other
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