Retreat Application Form

This application is a first step toward a deeper experience with yourself. 

Please take a moment to answer honestly and with presence. 

Your responses help us understand your intentions and ensure that this retreat is aligned, safe, and supportive for you. 

We personally review each application and will guide you through the next steps.

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Name *

First

Last

Email *

Phone / WhatsApp (optional)

Phone / WhatsApp (optional)

Location *

Where are you currently based?

What is calling you to this experience at this moment?

Tell us more, what is calling you here

What are you currently moving through in your life

What are you currently moving through in your life (emotionally, mentally, or in relationships)?

Have you participated in retreats, therapy, or personal development work before?

• Yes, regularly
• Yes, occasionally
• This is my first time

Intention

What would you like to transform or understand during this retreat experience?

Which experience are you interested in?

• Women’s Retreat
• Men's Retreat
• Couples Retreat
• Not sure yet

Is would step

Are you interested in a specific current retreat?

please tell us in which retreat you are interested in or are you looking for future retreats / events

How do you feel about taking the next step toward joining a retreat? *

• I feel ready and would like to move forward with booking
• I’m interested and would like to receive more details / talk to organizer
• I’m still exploring and not fully sure yet

Is there anything else you would like us to know?

I understand that this form is a first step of connection, and I will be contacted to explore the next steps. *

• I understand that I will be contacted by the organizer

Submit

We usually respond within 24–48 hours.

If you are reaching out regarding our Plant Medicine Retreat application, please use the appropriate intake form below to ensure faster response and proper guidance.

Plant Medicine Retreat Intake Form

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