RETREAT APPLICATION

✦ Basic Info

Name *

First Name

Last Name

Phone *

(###)

###

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✦ Which retreat are you interested in? *

(Select all that apply)

Provence

Tuscany

Mallorca

Portugal

✦ Booking & Rooms

Have you reviewed the retreat pricing and are you ready to move forward with the 50/50 payment plan? *

Yes

Not Yet

Will you be traveling: *

Solo

With a guest / sharing a room

✦ Let’s Get to Know You

Our retreats include cultural immersion, daily yoga, walking, biking, and light hiking. While all activities are optional, knowing your interest level helps us gauge alignment and plan accordingly. Are you excited to participate in most of these experiences? *

Yes

No

It depends—I’d love to share more below:

✦ A Few Quick Logistics

Do you have a valid passport? *

Yes

No

✦ Social Media (For Verification Only)

Social handle (e.g., Instagram, LinkedIn) *

I do not have any social media accounts to share

I know the retreat organizers personally and don’t need to provide this