England - Application 2024

Recovery 2.0 Summer Retreat to England July 8 - 14, 2024 - Application Form

Please answer each application question below as thoroughly as possible
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Gender*
Age*
Have you ever been on a Recovery 2.0 in-person retreat before?*
Have you ever taken any Recovery 2.0 Coaching program or 8-Week Awakening program?*
What inspires you to come on this trip?*
Are you in recovery from any addictions? If so, please list them.*
How long have you been sober, clean or abstinent?*
If applicable, describe your path of recovery. For example, in addition to Recovery 2.0, are you involved with any 12-Step Fellowships? Have you ever worked through the 12 Steps? Therapy? Other healing path?
Do you practice yoga?*
Do you meditate?*
Do you have any physical challenges that could get in the way of yoga and exercise? Please specify. *
Do you have any medical or mental health challenges? Please specify.*
Do you smoke, vape or use nicotine in any form?*
If you answered yes to the above question, would you like to quit?
Are you currently taking any prescription drugs? Please list.*
Are you committed to your recovery and living an outstanding life?*
How were you introduced to Recovery 2.0?*
This is a special kind of retreat where we are committed to our personal growth and to supporting each other.

It is important that you are ready to take your recovery to the next level and thrive in your life. If you can honestly make the following declarations, click the "Yes I agree" checkbox at the bottom to complete this application.

1. I am currently sober/abstinent and in good health.
2. I understand that I must be free from nicotine for at least 14 days before I can be invited on retreat.
3. I am willing to stay 100% clean and sober on this trip (no drugs/alcohol other than medical prescriptions used as directed)
4. I am willing to look at any blocks that come up for me.
5. I am ready to show up for myself in ways I may have never done before.
6. I am willing to learn how to truly relax.
7. I am willing to be on this retreat focusing on my recovery and life.
8. I have a sincere desire to live in truth and integrity.
9. I am excited to try new things and have an open mind.
10. I have an intention to be of service and uplift others.
11. I am excited to make this major investment in myself.
Thank you for completing this application. Once you submit your information, we will review your application and one of our team members will be in touch with you within 7 days.
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Recovery 2.0 Summer Retreat to England July 8 - 14, 2024 - Application Form