Sugar Freedom Embodiment Retreat Application

Date: July 27th-31st, 2023 (4 nights, 5 days)
Location: Bowen Island, BC, Canada

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First and Last Name *
Email: *
Phone number (area code + number):  *
Country of residence *
Mailing Address  *
What excites you most about joining this retreat?

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What are you hoping to get from this retreat?
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What are your biggest health concerns at the moment? *
Briefly tell me about your current relationship with sugar and food. *
Have you ever detoxed from sugar before? If so, please describe the experience below *
Do you have any mobility concerns? Please share with me any limitations you have physically so I can best accomadate based on the location and activities I have planned.  *
What experience do you have being in community and vulnerable connection with other women? What programs, retreats, or live events have you attended in the past? What were these experiences like for you? *
How willing and open are you to participate in deep vulnerable space with other women and helping us co-create a container of safety and inclusivity?  *
What is one challenge you may encounter during the retreat?
 *
Our retreat meal plan has been carefully curated by Dani with optimal health and blood sugar in mind. You will partake in a variety of healing modalities including a 5 day sugar detox, intermittent fasting and mindful eating. Meals will be meat based. With this in mind, are there any special requirements you'd like me to know around food so I can accommodate best I can? Please list any allergies or concerns here. 
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We have a variety of room options depending on your preference. Please indicate your preferred accommodation choice. I will be in touch to confirm once your application has been submitted. 
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Are you in need of financial assistance? We offer payment plans for those in sincere need. Please briefly share you circumstances here and we will reach out to you directly to discuss options further.
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How did you hear about the retreat?
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Is there anything else you'd like me to know in considering your application? Do you have any questions for me?
 *

Next Steps:

1. Dani will be in touch by email within 3 business days to notify your acceptance into the retreat and send next steps

2. You’ll be sent a link to pay your $500 deposit to confirm your spot (see below)

3. Share the retreat with a friend you’d like to bring along!

Payment & Deposit Policy

To secure your spot in the retreat there is a $500 non-refundable deposit.

Once this is paid your spot is 100% guaranteed and saved for you.

The remainder of your payment is due BY June 28, 2023. Should we not receive your payment by this date, a $100 late fee will be applied.

If for some reason you must cancel your registration to the retreat, the policy is as follows:

- If cancelling 30+ days before the retreat, the full - payment minus deposit is refundable

- If cancelling 15-30 days before the retreat, 50% of full payment minus deposit is refundable

- If cancelling within 15 days of the retreat, 100% of full payment is non-refundable


Do you understand the process and agree to the terms above?

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