MAPUTLA RETREAT APPLICATION

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Maputla Reset is Seven Days in Bali: Nervous System Recalibration, Somatic Practice, Feminine Longevity Science, Breathwork, Movement, and Ceremony designed to reach the layer where the real instructions live.

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1. Your full name* This field is required.

First Name

Last Name

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2. Your Email Address* This field is required.This is where we will respond to your application personally.

Every response comes from Heidi or Lowella directly.

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3. Where are you currently based?* This field is required.City and Country.

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4. What brings you to Maputla Reset today?* This field is required.Choose the one that feels most honest right now.

A · I am ready to apply. I feel called to Maputla Reset and want to begin the conversation.

B · I want to learn more first. I feel drawn, but have questions before completing a full application.

C · I am applying on behalf of someone else. I believe someone in my life needs this experience.

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5. A) What is happening in your life right now that is calling you toward Maputla Reset?* This field is required.There are no right answers here. Tell us honestly, what brought you to this page? The exhaustion that sleep does not fix. The nervous system running on emergency beneath the capability. The sense that something deeper is waiting on the other side of everything you have already built. The more honest you are, the more meaningful our response will be.

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5. B) What would you most like to understand about Maputla Reset before deciding whether to apply?What is included? What a day looks like? Who else will be in the room? Whether this is the right time? No question is too small. We will answer everything, personally.

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5. C) Tell us a little about the person you have in mind and what made you think of Maputla Reset for them.* This field is required.What are they carrying? What have they already tried? Why do you feel this is the right time? This helps us reach out in the most thoughtful way possible.

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6. Which of the following most precisely describes where you are right now?* This field is required.Choose the one that feels most true.

A · High performance on the outside. Depletion, exhaustion, or disconnection on the inside.

B · My body is telling me something: fatigue, hormonal disruption, sleep disruption that I have not been able to resolve.

C · I am in a major life transition: divorce, career change, relocation, identity and I am ready to do this properly.

D · I have done significant inner work. Something essential is still not free.

E · All of the above.

F · Something else, I will describe it in my application.

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7. Have you attended a Maputla retreat before or worked with Heidi or Lowella privately?* This field is required.

No, this would be my first Maputla experience

Yes, I have attended Maputla Awaken

Yes, I have worked with Heidi privately

Yes, I have worked with Lowella privately

Someone close to me has attended Maputla

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8. How did you find Maputla?

A · Instagram (@maputla_retreats)

B · Instagram (@heidi.apsara)

C · Instagram (@empowered.lowella)

D · LinkedIn

E · A Friend or Colleague

F · Google Search

G · Other