Holistic Singers Retreat 2023

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This intake form is a way for us to get to know you, the preferences you have and your idea of what becoming authentically you might look like. This is a three day retreat, please fill out the form so that we can contact you about the official days of the retreat!

DISCOUNTS: Get $50 off of your full price by referring and or signing up with a friend

Refunds: Cancellations within 72 hours will receive a 100% refund of the total amount paid, for in-person and V.I.P. a 85% refund of the total amount paid will be received.

WAITLIST: There is a 6 person limit for V.I.P.

Please contact us for information regarding overnight stay

*** Please do NOT book a flight to Utah until we contact you regarding location and date with itinerary info

*** Drugs, and alcohol of any kind are not permitted for this event

*** There will be limited spots available

Please take some time to fill out the information below, be as detailed as you would like and if you have any additional questions please contact info@mikahandmusic.com

Who referred you, how did you hear about this? *

Devin Davis

Cytel Schults

Jacquelyn Musig

Mikah + Music

Other:

Required

Email *

Name *

Phone #: *

Did you refer a friend or sign up with a friend?

*If so please provide their first name*

Which session do you plan attending *

In-person, Utah

Online

*In-person only*

Please list any food allergies, dietary restrictions, and preferences or suggestions.

Are there any physical limitations that would prevent you from doing yoga, hiking, breath-work, dancing, or any other physical activities, if so please list them.

*Online only*

Are there any physical limitations that would prevent you from doing yoga, hiking, breath-work, dancing, or any other physical activities, if so please list them.

What do you feel you will benefit from the most in this retreat? What are you most excited for? *

Unlocking The True Voice (singing + speaking)

Healing W/Singing and music

Group Cleansing Activities

Beneficial Worksheets + Explications on the soul and voice

Yoga + Music

Purity Sound Bath (w/singing bowls)

Connecting W/others

Creating a lifesaving music playlist to help cope with unresolved trauma and roadblocks

Bonfires and singing

Karaoke

Hiking

1:1 Workshop Time For Deeper Access to the voice

Choral Group Connection

Movement Activities

Movement in music cards

Mixing Masterclass W/special guest Emily K. Morris

Required

What kind of support do you hope to get from this retreat? What are you wanting to walk away with?

On a scale from 1 - 10 with 1 being the lowest how connected to your authentic self do you feel?

Clear selection

Please write out anything else you wish for us to know! And any questions you might have. We are so excited to help you on this beautiful journey.

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