A Sacred Passage Through Egypt — Participant Intake Form

A Sacred Passage Through Egypt — Participant Intake Form

Please fill out this form to join the Mazaara Egypt Retreat 2026 and share your details, journey interests, health info, travel plans, and intentions.
Your Details
First Name
Last Name
Email Address
example@example.com
Phone / WhatsApp Number
Country of Residence
Passport Nationality
Date of Birth

MonthDayYear
Date
How did you hear about us?
Your Journey
Which retreat components are you interested in? Select as many as you wish
Would you like the Cairo Sightseeing Add-On?
Health & Wellbeing
Do you have any medical conditions, injuries, or physical limitations? Feel free to share about your self-care practices, what nourishes you and what doesn't
Dietary requirements / allergies
Other dietary needs or allergies
Medications (pharmaceuticals) you may currently be taking
Fitness level
Comfortable with desert camping?
Travel Details
Intended Arrival date

MonthDayYear
Date
Intended Departure date

MonthDayYear
Date
Arrival city
Do you have a valid passport?
Do you need assistance with flights, accommodation, or transfers?
Emergency contact name, relationship & phone number
Your Intention
What calls you to Egypt at this time?
Which practices resonate with you?

I have a suggested offering of interest!
Have you attended a Mazaara retreat before?
Is there anything else you'd like us to know?
Should be Empty: