Romance Me Retreat Application
Apply for the Romance Me — Luxury Memoir & Storytelling Immersion retreat in Spain. This application helps assess fit, readiness, travel requirements, movement and photography comfort, dietary needs, and communication preferences.
Applicant Information
Full Name
*
First Name
Middle Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
City You Are Traveling From
*
Country You Are Traveling From
*
Do You Already Have a Valid Passport?
*
Yes
No
Retreat Understanding and Commitment
I understand this is the Romance Me — Luxury Memoir & Storytelling Immersion retreat in Spain
*
Yes
No
I understand this is a literary, embodiment, and identity immersion, not a general vacation or tour
*
Yes
No
I understand the retreat takes place in March 2027 and a valid passport is required to attend
*
Yes
No
I understand a non-refundable $500 USD deposit is required to hold my spot at the chateau
*
Yes
No
Writing Background and Motivation
What best describes your current writing experience?
*
Comfortable writing regularly
Occasionally write
Just getting started
Prefer not to say
Tell us about your relationship to writing and the story you want us to know.
*
What draws you to this retreat, and what do you hope to explore or create there?
*
Movement and Embodiment Readiness
Comfort level with movement and embodiment practices
*
Not comfortable
1
2
3
4
5
6
7
8
9
Very comfortable
10
1 is Not comfortable, 10 is Very comfortable
Which movement or embodiment practices are you comfortable participating in?
Gentle stretching
Breathwork
Guided movement
Dance/movement exploration
Somatic awareness exercises
Partnered movement
Other
Please describe any physical limitations, injuries, mobility concerns, or accessibility needs we should know about
Photography Comfort and Identity Visibility
How comfortable are you being photographed during the retreat?
*
Not comfortable
1
2
3
4
5
6
7
8
9
Very comfortable
10
1 is Not comfortable, 10 is Very comfortable
What concerns, boundaries, or preferences do you have about photography or identity visibility?
Are you open to being photographed as part of the retreat experience?
*
Yes
Maybe, with conditions
No
Dietary Needs and Travel Logistics
Food allergies
Peanuts
Tree nuts
Dairy
Eggs
Soy
Wheat/Gluten
Shellfish
Fish
Sesame
Other
Dietary restrictions and preferences
Vegetarian
Vegan
Pescatarian
Halal
Kosher
Gluten-free
Dairy-free
Low-sugar
No pork
No red meat
Other
Travel or logistical considerations
Fit and Readiness Check
What are you hoping to gain from this retreat?
*
Self-discovery
Creative growth
Emotional healing
Connection and community
Confidence and self-expression
Clarity about relationships
Other
How ready do you feel to participate fully in an intimate international retreat setting?
*
Very ready
Mostly ready
Somewhat ready
Not ready yet
Unsure
Is there anything else we need to know?
Do you approve to be added to the email list/women's community circle app?
Yes
No
Number of women accepting the invitations
*
Submit Application
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