Polly Pocket Cali Dream House Los Angeles Experience Retreat

Join us the weekend of TBA for a wicked fun 2 - night retreat to a super vibey Polly Pocket Cali Dream House in Los Angeles, California! Space is limited, so sign up now!

When: Friday, TBA at 3:00 PM - Sunday, TBA at 7:00 PM

Where: TBA

Cost: $2250 per person

For more questions contact Anna & Laura : screamhernamecollective@gmail.com

Full Legal Name*

First NameLast Name

Is this a deadname?*

If so, what would you like to be called?

What are your preferred pronouns?*

Email*

example@example.com

Phone Number*

Area CodePhone Number

How do you prefer to communicate : through text, phone call, or email?*

Sorry, Carrier Pigeon is out!

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

What is your date of birth?*

This information will only be used to verify that you are 21+.

Have you ever attended a wellness & empowerment retreat before or are you new to this?

There is no shame in being new; we all start somewhere. There is no shame in seeking out numerous or alternative means of healing + community building : sometimes, we need more.

What is your reason for wanting to attend the Polly Pocket Cali Dream House Los Angeles Experience? *

Do you have an intention or vision set for this event? What do you hope to gain from this experience? *

It's okay to not have a really clear agenda in mind.

Do you have any allergies, food sensitivities, or dietary restrictions we should keep in mind? Do you have any medical conditions, injuries, restrictions, complications, or limitations that need to be discussed before our event that might impact movement or ability to continue? If yes, please specify below. *

This is really important for us to be able to create just the right mood for your relaxation & comfort. No one is comfortable while sneezing!

Are there any specific positions or movements that are too uncomfortable or dangerous for you at this time?*

Your comfort and safety are of utmost concern. Please be as specific as possible.

Do you have any specific triggers that need to be avoided? *

We do not want to cause you any stress during your stay, so it's best to discuss these things beforehand. Are there any words, movements, songs, textures, sounds, scents, or discussion topics that are red flags for you or that you would like eliminated from our time together? You do not have to explain your trauma to make it valid. We want to make sure you feel safe, seen, and heard.

Do you have any suggestions on anything that you would like to be included in this weekend?

What type of music or sounds makes you feel your most safe, present, & at peace, or most empowered, sensual, and in your body?

Please share any audio ideas or preferences you may have for your stay. Share your likes and dislikes. Feel free to add a link to your favorite Spotify playlist you vibe the best with.

Do you enjoy aromatherapy?

We have plenty of candles, wax melts, & incense.

What is your preferred method of payment?*

Is there anything else you would like for us to know about you before our event? It can be as simple as liking cats or as complicated as expressing your feelings around a recent loss & grief.

This is a way for us to get to know you a little better. Don't be afraid to share any hesitations you might have so we can help you catch those butterflies.

Do you have any questions?*

Ask away! If you are new to this, the process can be a bit overwhelming.

How did you hear about Scream Her Name?*

We're constantly working to improve the social media reach and spread the word about our community mission and events.

Please verify that you are human*

Polly Pocket Cali Dream House Los Angeles Experience

Reserve Your Spot Now!