We are honored that you're interested in this heart-led experience.

We ask that you please fill out the following information below and either Kristina or Olivia will get back to you with more details.

We look forward to connecting with you soon!

Question Title

* 1. Please tell us your name...

Question Title

* 2. What is a good email address for us to reach you at?

Question Title

* 3. And a good phone number for you:

Question Title

* 4. What is your main interest and intention for joining this retreat?

Question Title

* 5. How did you hear about this retreat?

Question Title

* 6. Do you have any specific dietary needs?

Question Title

* 7. Could you share with us your preferred emergency contact?

Question Title

* 8. Would you prefer a private room or a shared room? (Room requests are first come, first served and we will do our best to honor your preference!)

Question Title

* 9. How would you prefer to pay for this retreat

Question Title

* 10. Please let us know if you have any additional questions or information you want to share:

Question Title

* 11. Would you share your pronouns with us?

Question Title

* 12. Are you planning to attend the retreat with someone? If so, please list who this is in the comment box.

Question Title

* 13. Would you like a personal call to discuss more about this retreat?

Thank you so much! We will be in touch with more information shortly.

T