Congratulations!

Your space is officially reserved. x

Please take 5 minutes to complete the form below so we can tailor your experience, ensure your safety, and create the best retreat experience possible for you.

First name

Last name

Phone / Whatsapp

Do you have any medical conditions, injuries, or other concerns we should be aware of to best support your experience?

Do you have any allergies (food, environmental, or medical)?

Are you attending with a friend? If so, would you like to room together? If so, please share their name below. If this doesn't apply to you, please indicate N/A here.

If you booked two tickets, please provide the name and email of the second ticket holder so we can send them this form. If you only booked one ticket, please indicate N/A here.

Please share a little about yourself—what you do, the stage of life you’re in, and what’s currently shaping your journey.

What drew you to this retreat, and what are you hoping to receive from this experience? Is there a specific area of your life you’d like to focus on (mindset, nervous system regulation, emotional healing, connection, clarity, etc.)?

We want to ensure that the connections made during this retreat continue well beyond our time together. We’re creating a Retreat Connection Directory so you can stay in touch, support each other, and continue this journey together.

How would you like to be listed in the directory? (Name, Instagram handle, business, or other relevant details)

Please upload a high-quality photo of yourself so others can put a face to the name!

Is there anything else you'd like us to know to support you in having the most nourishing and transformative experience?