🌹 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

Country CodeArea CodePhone 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).
Have you taken any antidepressants such as MAOIs (monoamine oxidase inhibitors) or SSRIs within the last 60 days? If yes, please include dosage and how long have you been taking this prescribed medication?
Do you have any injuries, chronic pain, or limitations we should know about?
Have you experienced any of the following (check all that apply):

Other
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?
Are you comfortable being in a group setting that may include emotional expression and deep process?
Closing
Is there anything else you’d like to share about yourself, your path, or your prayer for this journey?
Do you understand that this retreat is a sacred, non-recreational space centered in safety, devotion, and reverence?
CONSENT & AGREEMENTBy signing below, I affirm that all information provided is accurate and complete to the best of my knowledge. I understand that this is not a substitute for medical or psychiatric treatment and that I am responsible for my physical, emotional, and spiritual well-being throughout this process.
Signature
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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