RECLAIM: The Retreat El Salvador December 2024 Application

RECLAIM: The Retreat El Salvador December 2024 Application

Thank you for your interest in RECLAIM: The Retreat. As a working retreat, RECLAIM is more than just 'fun in the sun'. It is a safe space for self-reflection and exploring the answers to hard questions. Please complete the questions below so that we can ensure that RECLAIM is the best fit for you.
You can expect confirmation of your registration for RECLAIM: The Retreat within 48 hours of submitting this application.
Name*

First NameLast Name
Is there a different name that you would like us to call you?
Preferred pronouns*
Email*
example@example.com
Phone Number*

Country CodeArea CodePhone Number
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
How did you find out about RECLAIM: The Retreat?*

YouTubeInstagramFacebookNewsletter/EmailPodcastWord of mouthInfo sessionOther
Tell us more about why RECLAIM: The Retreat appeals to you.*
Be as specific as possible.
Why is now the right time for you to attend RECLAIM: The Retreat?*
What do you hope to gain from this experience? *
Please note: This is a working retreat. By checking this box, you agree to complete the required pre-work tasks, submit them electronically, and to participate fully in the live workshops held throughout the retreat.*

I acknowledge these requirements

For those selected to attend RECLAIM: The Retreat, a $350 non-refundable deposit is required to reserve your spot. You may then choose to pay the balance in full or pay it off in equal monthly payments to be completed 60 days prior to the retreat.*

RECLAIM El Salvador Deposit [DOUBLE]Non-refundable deposit for RECLAIM: The Retreat in El Salvador in December 2024 - DOUBLE OCCUPANCY

$350

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

How would you like to structure the remaining payments?*
Credit card information will only be retained for registered participants.
Should be Empty: