Healing the Heart Retreat ❤️
Complete this short form to reserve your place for October 11–14, 2026 in Punta Cana with a $500 USD deposit per guest.
Page 1 — About You
Healing the Heart is an international retreat. Sessions may be offered in English, Spanish or bilingually depending on the guests attending.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
WhatsApp / Mobile Number (include country code)
*
Please enter a valid phone number.
Format: (000) 000-0000.
Country of Residence
*
Preferred language
*
Please Select
English
Español
Either / Ambos
Page 2 — Your Booking
How many guests are you reserving for?
*
1 guest
2 guests
Second guest’s full name
First Name
Last Name
Are you travelling with someone you would like to share a room with?
*
Yes
No
Shared room companion’s name
Page 3 — Accommodation
Choose your preferred accommodation
All shared-room prices below are per person and include the retreat programme, accommodation and meals.
Accommodation type
*
Air-Conditioned Twin Room — $995 per person — two sharing
Air-Conditioned Queen Room — $1,095 per person — two sharing
Air-Conditioned Upper Queen Room — $1,195 per person — two sharing
Air-Conditioned Master Suite — $1,395 per person — two sharing
Would you like private occupancy?
*
No — shared accommodation
Yes — private room, add $400
Private occupancy adds $400 to the per-person retreat price and is subject to availability. Private pricing: Twin private — $1,395; Queen private — $1,495; Upper Queen private — $1,595; Master Suite private — $1,795. Rooms are allocated according to availability and the order in which deposits are received.
Page 4 — Your Retreat
What are you hoping to receive from your time at Healing the Heart?
Dietary requirements
None
Vegetarian
Vegan
Gluten-free
Other
Page 5 — Booking Terms
Booking and cancellation terms
Consent to booking and cancellation terms
*
I have read and agree to the booking and cancellation terms.
Retreat nature and responsibility acknowledgment
*
I understand that Healing the Heart is a wellness and spiritual retreat and is not a substitute for medical, psychiatric or psychological treatment.
I understand that participation in activities is voluntary and I am responsible for deciding whether individual activities are appropriate for me.
Page 6 — Payment
Reserve Your Place
Payment
*
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Healing the Heart Retreat — Reservation Deposit
Reservation deposit per guest
$500.00
$
500.00
Debit or Credit Card
Credit Card Number
Security Code
Expiration Month
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