Tulum 2026 Retreat

Threshold of Awakening Breathwork Retreat Tulum March 9-14, 2026

with Jason and Claudia
We are so excited to share this retreat space with you!

We want to get some basic information to make sure that we are providing the most fun, exciting, safe, and supportive experience for you. All of the info on this form will be kept confidential.

We will have a 30 minute discovery video call once you've completed this form (if we haven't had a video call already) to connect and get to know one another!
Full Name*

First NameLast Name
What is your age?*
Contact Number*
Email Address*
example@example.com
Emergency Contact Name*
Emergency Contact Phone Number*
xxx-xxx-xxxx
Emergency Contact Email*
example@example.com
What drew you to this retreat? What do you hope to receive from this experience?*
Are you ready to come to this retreat with an open mind, a welcoming heart, and a spirit of participation? Please elaborate.*
Have you attended a retreat (local or international) before? If so, what was that experience like for you?*
Do you have experience with breathwork of any kind (yogic pranayama, Shamanic Breathwork, Wim Hof, etc)? If so, how did this experience affect you?*
Do you experience any of these contraindications for Shamanic Breathwork and/or activating breathwork modalities? Please check all that apply.*

Cardiovascular disease (angina, arrhythmia, previous heart attacks, pacemaker, or strokes)Severe liver or kidney impairmentDetached retinaGlaucomaAneurysm in brain or abdomenSevere AsthmaEpilepsy or seizure disordersTaking anti-psychotic medicationsActive substance abuseAny other medical, physical or psychiatric condition which would impair or affect the ability to be involved in deep physical and emotional releaseNone of these
Do you have any medical conditions, injuries, or physical limitations? Please list them here in detail.*
Please list any current medications you are taking by name and dosage & what they are for.*
Please list any current supplements/homeopathic/Ayurvedic/Chinese medicine remedies by name that you are taking.*
Have you ever fainted?*

YesNo
Do you or anyone in your family have a history of epilepsy or seizures?*

YesNo
What level of physical activity are you comfortable with (hiking, walking up and down stairs, swimming, etc)? Please explain.*
Are there any needs you have for this retreat (physical or otherwise) that we need to be aware of?*
Please give a thorough mental health overview, including traumas or issues you are currently working through.*
Are you currently seeing a therapist or personal coach?*

YesNo
What spiritual practices do you engage with and how do these practices support you?*
Do you have a requested roommate (if you are wanting to be in a shared room)?*
Do you have any food allergies or dietary needs that we need to know about?*
Is there anything else you would like us to know that has not been addressed in this form?*
Photos and videos help us share the essence of these retreats with others who are seeking this kind of healing experience. With that in mind, we’ll be capturing some moments throughout the retreat to share the beauty of our time together. Are you comfortable being included in this media?*

Yes!No, I'd rather not be included.
Should be Empty:

Threshold of Awakening Breathwork Retreat Tulum March 9-14, 2026