Tulum - Wellness Vacay Registration Form

On this beautiful retreat style Wellness Vacay, you will receive personal attention and support, nourishing meals / juices, herbal treatments. Your retreat experience has been customized to support your highest growth and healing.

This retreat is a small group experience (4-6 women max)

Includes: Concierge Travel Services, Intro Assessment
Name*

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

Area CodePhone Number
Social Media
(Optional: LinkedIn/ Instagram / Facebook/Website )
Have you already completed an intake form via the Waitlist?

YesNo
How did you learn about this Wellness Vacation?*

Word of MouthFacebook / InstagramQueen By Nature WellnessChandra AieshaTheressia NangleOther
What's inspiring you to take a Wellness Vacay? What do you wish to receive from this Wellness experience?*
Dietary*

No RestrictionsGluten-FreePlant Based / VeganOther
Will this be your first out of country experience?

YesNo
Do you need assistance coordinating a flight that aligns?*

YesNoOther
Will this be your first retreat?

YesNo
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,difficulty walking, mental health concerns, etc.)*
What is your experience with Yoga, and/or Meditation?*
Are you bothered by scents (essential oils, incense, perfumes etc.)? If yes, please let us know the details.*
What is your level of comfort when it comes to getting into the water? (pool/ocean/lagoon/river/waterfall)*
Room Booking Style Interested in:*

$2600 - Shared Room$3100 - Private Bedroom$4800 - 2 Friends sharing a room ($2400/each)
How would you like to invest in your Wellness Retreat Experience?

Hold space with $500 Deposit and make payments (final payment due by October 31,2024)Pay in FullAffirm,AfterPay or Paypal - Credit Financing Option
Is there anything additional that you would like to share about yourself?
OPTIONAL
What size shirt/robe do you wear?
Complimentary Retreat Souvenir Shirt Data
Vibe Check | Phone Call
Check your email for all future updates.

Wellness Vacay Group photo from our last Tulum Retreat

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