Elemental Gathering Application

Elemental Gathering Application

Please take a few breaths and fill in this application form. I want to get to know you a bit before you join us at the Gathering in Samothraki. As soon as I received your information, I will reach out to you via Instagram within the next 48h. Once I talked to you and see your payment preferences, I'll send you an invoice and we are ready to go! So grateful to connect with you!
Personal Information
Full Name*

First NameLast Name
Your Birthday*

MonthDayYear
Instagram*
Phone
E-mail*
example@example.com
Where will you be flying in from?
Tell us about why you want to join us at the Elemental Reset gathering?
Which payment option is preferred?*

Pay in FullPay in 2 rates
Do you have any allergies or food preferences?*
Do you have any medical conditions?*
Do you have a tent for yourself to bring and sleep in?*
Any other questions you have?
Should be Empty:

Personal Information