MARRY YOUR SOUL RETREAT APPLICATION

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Name
First Name
Last Name
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Email
example@example.com
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Phone Number
Please enter a valid phone number.
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Instagram Handle
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Date of Birth
Date
Year
Month
Day
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What's going on for you lately that brought you here?
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What would you most love to work through while you are here?
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If this retreat gave you exactly what you need, what would feel different when you return home?
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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?
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Do you have any special dietary requirements? (eg: gluten-free (please specify if you are celiac), allergies, etc…)
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Are you currently pregnant or undergoing any treatments that may require special accomodations?
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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.)
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To support your enrollment, would you like to proceed with a one-time investment or explore a customized payment plan option?
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Please identify time slots and days in which you have availability for a screening call.
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