"The Floral Issue" Retreat/Workshop 2025 Interest Form
Hosted by Jeanna Hayes 7/14 - 7/17 in Hartville, Ohio
Name
First Name
Last Name
Email
example@example.com
Photography Business Website
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number, just so I have it handy!
Please enter a valid phone number.
How interested are you in the retreat/workshop?
I'm IN, sign me up today - I want a spot and I can't WAIT!
I am definitely interested, but I do have a few questions first...
I'm more curious than anything, can you tell me more?
How would you best describe yourself? (Click all that apply)
I'm a bit of a wallflower, this kind of thing is a bit out of my comfort zone.
I'm on the reserved side, but I open up when you get to know me!
I'm flexible - I don't mind being alone, but I also like to make new friends.
I'm pretty bubbly and open.
I'm a "tell it like it is" kind of person, but fiercely loyal.
I'm the life of the party, full of spontaneity and energy!
Darn, I don't feel like any of these describe me!
Introvert or Extrovert?
Please Select
Introvert
Extrovert
I'm honestly happy either way
Sweet tooth or Salty/Savory tooth?
Please Select
Sweets all the way!
Give me that salt
Both, not gonna lie...
Mountains or the Beach?
Please Select
Mountains
Beach
Why choose?
Sunshine or a quiet, Rainy Day?
Please Select
Gimme that sun!
Rain, rain (don't) go away...
I'd love to know what you are looking for in a retreat/workshop. Options: Education, Fun activities, Getting that creative spark back, Meeting new friends (community and sisterhood), Styled shoots, Gifts, Food, ... and feel free to add on anything else you are looking forward to! (Please rank #1 as what you are the most excited about, and so on...). Also feel free to add other thoughts you have!
What "Love Languages" really speak to you? (Feel free to choose more than one, but I do want to know your absolute favs)
Words of Affirmation
Acts of Service
Gift Giving
Quality Time
Affection - lots of hugs and high fives!
Other
What would help you feel cared for during our time together? If there is something you are really in need of, I want to know so I can be very mindful of that. (example: You're a mom who just really needs a break and someone to take care of everything for a few days, or you're a creative who is plateauing and in desperate need of inspiration, etc.)
Is there anything you feel hesitant about for this retreat or just retreats/travel in general? I'd love to know so I can help you see if this would be a good fit. I also want to make sure you feel safe and comfortable while you are with me.
If you were to attend, which rooming option do you *think* you'd be interested in? (Please see the retreat page at www.jeannahayeseducation.com/retreat if you want to check out the choices. Clicking right now is NOT a commitment, by the way!)
Please Select
Shared Bunk Room - $3700
Shared Room Twin - $3750
Shared Room Queen - $3800
Private Room - $3900
Private Room Premier - $3995
Master Suite - $4100
What step would you like me to take from here?
Please Select
Please message me so we can chat about options!
I'd love to officially book my spot!
I just need some time, please check back with me in a week or so...
Other (please let me know below!)
What is the best way to communicate with you? Please let me know below!
Are you awesome and completely worthy and wonderful whether you come to the workshop or not?!
YOU KNOW IT.
Absolutely!
Yeppers :)
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