MARRY YOUR SOUL APPLICATION

1
Name
First Name
Last Name
2
Email
example@example.com
3
Phone Number
Please enter a valid phone number.
4
Instagram Handle
5
Date of Birth
Date
Year
Month
Day
6
What's going on for you lately that brought you here?
Huge
Large
Normal
Small
Ok
Ok
7
What would make this weekend deeply meaningful for you?
Huge
Large
Normal
Small
Ok
Ok
8
Please share any previous experience you have with personal development, spiritual practices, coaching, therapy, somatic work, breathwork, healing modalities, or transformational retreats. This retreat involves self-reflection, emotional processing, and inner transformation. Are you willing and committed to engaging in the inner work that may arise during this experience?
Huge
Large
Normal
Small
Ok
Ok
9
Do you have any special dietary requirements? (eg: gluten-free (please specify if you are celiac), allergies, etc…)
10
Are you currently pregnant or undergoing any treatments that may require special accomodations?
Huge
Large
Normal
Small
Ok
Ok
11
Do you have any health limitations or physical injuries? Please indicate if you have any major health issues (ex high/low blood pressure, arthritis, asthma, diabetes, seizures, osteoporosis, claustrophobia etc.)
Huge
Large
Normal
Small
Ok
Ok
12
To reserve your space, please select your preferred payment option:
Please Select
Reserve with Zelle
Reserve with Venmo
Pay with PayPal
Pay with Stripe
Should be Empty: