🌹 Application for Ceremony & Retreat Participation

🌹 Application for Ceremony & Retreat Participation
This application is intended to help us determine mutual readiness and alignment for this sacred retreat. Please answer with honesty and reflection. There are no right or wrong answers—this is an opportunity to ensure that your participation serves your highest growth, safety, and integration.
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Date of birth
Address*

CityState / Province

Postal / Zip CodeCountry
Alignment & Intention
What draws you to this retreat and ceremony at this time in your life?
What are your current intentions for this experience? What do you hope to receive, remember, or release?
Have you participated in a guided ceremony or transformational retreat before? If so, please share a bit about the experience and what you learned.
What is your current spiritual or contemplative practice? (Meditation, prayer, yoga, journaling, breathwork, nature communion, etc.)
How do you currently support yourself in times of emotional challenge or inner turbulence?
What would you most love to cultivate in your relationship with yourself through this experience?
Preparation & Support
Do you have a trusted person or community that can support you in your integration process after the retreat?
How does your body respond to deep emotional or energetic experiences? (e.g., shaking, crying, stillness, numbness, clarity, etc.)
Is there anything about your physical or mental health that you feel we should know in order to best support you?
Are you currently taking any prescribed medications or working with any other facilitators, healers, or therapists? (If yes, please specify)
Commitment & Readiness
What does readiness mean to you? How do you know when your soul is ready for transformation?
Are you willing to commit to the full preparation and integration process before and after the retreat?
Do you understand that this is a sacred and non-recreational space centered in healing, devotion, and reverence?
Closing
Is there anything else you’d like to share about yourself, your path, or your prayer for this journey?
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🌹 Application for Ceremony & Retreat Participation

This application is intended to help us determine mutual readiness and alignment for this sacred retreat. Please answer with honesty and reflection. There are no right or wrong answers—this is an opportunity to ensure that your participation serves your highest growth, safety, and integration.

Alignment & Intention

Preparation & Support

Commitment & Readiness

Closing