Application: LWPS Retreat for BIPOC Women Costa Rica

A Transformational Retreat Experience

The Listening When Parts Speak Retreat is a curated experience for BIPOC women who carry the burdens of generational, cultural, and personal trauma. The women who attend this retreat are open to new possibilities and ready to embark on deep healing work. They want to eagerly access the wisdom of their ancestral lines to support their journey and ultimately harness the gifts and heirlooms their ancestors want to bestow.

Our ancestors longingly await connection with us. This retreat is the opportunity to bond, connect, and heal long-standing burdens carried way too long by accessing the wisdom of our loving ancestors while creating new connections. The pains held by women of color are best healed in community and this retreat provides a supportive environment to do your sacred work.

By attending this retreat you will:

Bring awareness and healing to multi-layered trauma and burden

Connect with your wise, intuitive, internal healing resource

Heal wounds and release burdens with the support of your loving ancestors

Collective unburdening and healing in a community of feminine energy

Learn to live and lead from your true essence resulting in behavior change, improve relationships, and increased life fulfillment

Access the heirlooms of your generational lines

What’s Included:

Retreat Tuition

Accommodations - Villas with Waterfall Views
- Single Queen Villa with en suite bath, sitting area, kitchenette, and private balcony $3900
- Double Queen Villa (Shared room) with en suite bath, sitting area, kitchenette, and private balcony $3400 per person
Health-conscious meals prepared by a private chef

Round-trip private charter flight from San Jose Airport (SJO) & shuttle from landing strip to retreat venue

One Group Excursion

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This is an in-residence retreat for paid attendees only (no guests or visitors). If you’re interested in attending, please submit the application with the $1000 non-refundable deposit. A full refund of your deposit is issued if you are not selected. If you are selected, you will receive a payment link with the choice to pay the balance in full or by payment plan with a $250 increase in the retreat cost. If you select the payment plan, the retreat balance will be billed in two equal payments of $1575 for Single Queen Villa and $1425 for Shared Double Queen Villa due November 15, 2025 & January 15, 2026. It is advisable that you obtain travel insurance in case you have to cancel due to unforeseeable circumstances.

Name*

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Area CodePhone Number

Address*

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Current Age*

Indicate your racial/ethnic identity*

How did you learn about this retreat?*

What is your motivation to attend the Listening When Parts Speak Retreat? Select all that apply.*

Seeking personal healingCreating or deepening relationship with my ancestorsInterest in learning more about generational trauma & legacy burdensAccess the gifts/heirlooms of my ancestral linesRecommended by someone who previously attended this retreatOther

What do you hope to gain by attending this retreat? Select all that apply.*

Strategies for personal healingUnderstanding of my own legacy burdensConnection with a supportive communityIncreased self-awarenessTools to help others with their legacy burdensOther

What are the legacy/generational burdens you carry?*

Is there anything specific you would like to address or achieve during the retreat not already shared?

Highest level of IFS training completed?*

NoneLevel 1Level 2Level 3

Are you currently seeing a therapist or psychiatrist?*

YesNo

Have you ever been treated for or diagnosed with a psychological condition? Have you been hospitalized for any of these conditions? (e.g. depression, drug/alcohol addiction, eating disorder, anxiety disorder, bipolar, psychosis, schizophrenia, mania or any other psychological condition)*

YesNo

Have you ever seriously contemplated or attempted suicide?*

YesNo

Do you have any physical conditions that may be aggravated by or interfere with sitting at length or moderate walking?*

YesNo

Are you currently taking any prescription medications for any physical or psychological conditions?*

YesNo

If you are taking any prescription medications for any physical or psychological conditions, do they affect your psychological functioning?

YesNo

If you answered "Yes" to either of the last two questions, please specify the conditions and/or list the medications and dosages. Describe the effect these medication have on you.

Have you experienced any significant emotional, psychological, or spiritual difficulty that prevented you from completing daily life tasks and responsibilities? (e.g. accidents, miliary service, PTSD, childhood abuse, etc.)

YesNo

Describe any present conditions in you life which might be placing you under additional stress or make participating in retreat activities difficult for you (e.g. recent loss of a love one or job, relationship ending, substance abuse withdrawal, etc.)

Do you have any dietary restrictions? Select all that apply.*

Do you currently smoke or not?

Yes, I doNo, I do not

Please provide an emergency contact with full name, phone number, email address, and relationship to you.*

Room Type - Please indicate your 1st and 2nd choice of room preference. If you only want to be considered for one choice it's okay to limit your selection. Single Queen Villa $3900

Room Type - Please indicate your 1st and 2nd choice of room preference. If you only want to be considered for one choice it's okay to limit your selection. Shared Double Queen Villa $3600

My Products

LWPS Retreat for BIPOC Women$1,000.00

Retreat Deposit

Total $0.00

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