Retreat Application | Sacred Spirit Healings

Name:

Email:

Phone:

Address:

Birthday:

Month

Day

Year

Social Media Handle:

Tell me a little about you and what has led you to this point.

What is your intention in joining and what are you looking to gain from this experience?

What value can you add to our retreat community? Do you have a skill, experience, or something you can teach/share?

Do you feel you have spiritual gifts? If so, please share with us so Moon can customize your retreat exercises and plans.

Please share what you are most excited about experiencing during the retreat.

Have you been to a retreat before? If so, tell me about it.

Which option do you prefer?

Pay in Full $3777

Payment Plan $1500 deposit + $456 x 5 monthly

Bringing friends? Please share your roommates name (if applicable)

Will you be comfortable roomie with another attendee of the same gender who will be getting to know you during the retreat duration?

Yes! That sounds exciting.

No! I prefer more privacy.

Do you have a disability where you use a cane or walker?

Yes

No

Will you need any assistance going up and down stairs?

Yes, please.

No, thank you.

Do you give permission for Amber, the Retreat Massage Therapist, to customize a massage session for you?

Yes! I would love that!

No! I prefer not to be touched.

Do you give permission for our Aesthetician to customize a calming facial for you?

Yes! I think I'd enjoy that.

No! I'd rather not be touched.

Is there anything you'd like our Head Chef Lauren to know about your food diet / regiment?

Is there any food you maybe allergic to? If so, please let us know so our Chef Lauren will know in advance.

We will be filming and taking professional pictures during the duration of the retreat. This is to document the progress of each attendees transformation, as well as gathering spiritual activity. Do you consent to being a part of this process?

Yes! Anything I can do to help.

No! I prefer not to be a part of that experience.

I don't mind being filmed if my face isn't shown. Please film from the chest down.

If your application is approved do you have any questions before you join us or are you 100% in? Ask any questions you have here! Please make sure to review ALL the details on the RETREAT PAGE..

Who referred you to the retreat? How did you hear about us?

By checking this box, I agree that I am a serious applicant and want to be considered as a serious attendee for the Soul Retreat.

By checking this box, I fully understand, that if I am acceptanced, my reservation deposit of $1,500 for my spot in the retreat experience will need be made immediately.

I accept all terms and conditions of this application and retreat process.

Once you apply you will receive a confirmation email from me! Be sure to check your inbox.

PLEASE CHECK MARK HERE IF YOU UNDERSTAND.