The Rooted Reset™ Retreat Application

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The Rooted Reset™ is a faith-led, immersive experience designed for women who are ready to step out of constant doing and into deep restoration.

Because this retreat is intentionally intimate and held in a physically immersive environment, we ask all potential attendees to complete a brief application. This helps ensure alignment, safety, and the best possible experience for every woman attending.

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Name

First Name

Last Name

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Email

example@example.com

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Phone Number

Please enter a valid phone number.

5

Location (City, State/Country)

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What draws you to The Rooted Reset™ Retreat at this point in your life?

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The retreat location includes hills, stairs, and uneven terrain. Are you comfortable navigating this independently?

Yes

No

Unsure

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Please briefly share what concerns you or what support you might need.

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Do you have any medical conditions, injuries, or mobility considerations we should be aware of?

No

Yes

10

Please briefly share anything we should be aware of.

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The Rooted Reset™ is held on a vegan campus and is a substance-free environment (no alcohol, drugs, or smoking). Are you comfortable honoring this during the retreat?

Yes

I have questions

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Please share your question or concern.

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This retreat is faith-led and includes optional prayer, reflection, and spiritual grounding. How does that land for you?

Fully aligned

Open and curious

Unsure

14

Please share what you’re unsure about.

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The Rooted Reset™ Retreat is a premium, application-only experience. Are you prepared to financially invest if accepted?

Yes

I need more information

Not at this time

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What would be helpful to know?

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If accepted, are you willing to prioritize your health, rest, and presence during the retreat (including unplugging from daily responsibilities as much as possible)?

Yes

I'll need support with this

Unsure

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Please share.

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Is there anything else you feel is important for me to know as I review your application?

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Please confirm:* This field is required.

I understand this is an application, not a guarantee of acceptance.

I am applying with honesty and intention.

I understand that this retreat is designed for women ready to receive deep restoration.