Journey's End Transformational Retreat - Application for Fall 2021
Please fill out this application and submit your deposit in order to initiate the review process.
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Email *
Full Name: *
Preferred Name:
Date of Birth: *
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Where are you based? (City/Town, State, etc.) *
What is your highest level of education completed (or currently enrolled)? *
What is your current occupation? *
Do you have any previous experience with transformational retreats, such as yoga, meditation, or plant medicine retreats? *
Do you have any previous experience with non-ordinary states of consciousness, such as those brought about by meditation, breathwork, psychedelics, etc.? *
Why do you want to attend this retreat and what do you hope to gain? *
Please describe your existing spiritual, therapeutic or transformative practice, including any modalities you have studied in-depth, or traditions you align with: *
Do you have any injuries or physical conditions that you feel might limit your full participation in the retreat? (This information is confidential and will help us to better serve you). *
Do you have any mental illness or related conditions that you feel might limit your full participation in the retreat? (This information is confidential and will help us to better serve you). *
Who referred you to the retreat? *
How do you intend to pay for the retreat? *
What payment method do you plan to use? *
Have you paid your application deposit? If so, what method did you use (or plan to use)? *
Is there anything else you would like for us to know in considering your application?
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