Hello,

I am delighted you are interested in participating in this all-inclusive retreat.

Please fill out the following:

First Name

Last Name

Phone *

Email *

Is this your First LIVE In-Person Retreat or Journey with me?

Yes

Nope, I love this work!

If yes, then please include the following:

Date of birth

Please tell me a bit about yourself... Where you live, etc.

Please tell me why you feel called to this retreat?

Are you willing to have me choose a roommate for this retreat? Please note, it is required to stay at the same property as the rest of the group and is included in the retreat's all-inclusive price. This is to provide a beautiful group energy and ease for the retreat.

Yes - I understand I will have a private bedroom & bath in a shared villa

No - I prefer my own villa & will pay $3000 extra to have the to myself.

No - A friend is signing up for this retreat as well

If NO, AND sharing with a friend, please tell me who you want to room with:

Please upload a RECENT picture IF we have NOT met in person yet!

Thank you for applying for this retreat.

I will get back to you asap. DO NOT book any airfare UNTIL you have received confirmation from me.

This retreat is limited to 9 participants.