Retreat Interest Form
Share your details and retreat preferences—responses are reviewed before confirming a spot.
About You
Full Name
*
First Name
Last Name
Preferred Pronouns
Email
*
example@example.com
Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
City / Country of Residence
*
Which Retreat
Location Preference
*
Utah, USA — High Desert Basin — canyon & juniper-sage plateau; Sacred Valley, Peru — Andean highlands, Cusco region; Carpathian Monastery, Romania — Transylvanian foothills, monastery garden & forest; Arenal Volcano, Costa Rica — Rainforest at the foot of an active volcano; No preference — Open to whichever season fits my schedule
Preferred Season / Month
*
How Did You Hear About Us? / Notes on Location Ranking
About Your Practice
Which best describes you?
*
Wellness practitioner / therapist
Complete beginner to aromatherapy
In a season of burnout or transition
Coming with a team / close group
What draws you to this retreat?
*
Any prior experience with aromatherapy, herbalism, or plant medicine?
Practical Details
Dietary restrictions or allergies
Health conditions, injuries, or mobility needs
Emergency contact — name, relationship, and phone
*
Acknowledgements and Consent
I understand that transportation, medical expenses, and optional excursions are not included in the retreat price.
*
I understand
I understand that submitting this form does not guarantee a spot — confirmation depends on availability, capped at 15 participants per season.
*
I understand
I'd like to be added to the mailing list for future season announcements.
*
Yes
Signature
*
Date
*
-
Month
-
Day
Year
Date
Submit Interest
Submit Interest
Should be Empty: