Guest Application

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Guest Application

Thank you for your interest! As mentioned, because this is an intimate group of 6— organized around sensitive topics to each individual— potential guests will need to complete this simple application. The goal of the app is to help us understand what you're working on, what you hope to get out of the retreat, and most importantly— what your participation would mean to the overall experience.

You will be contacted either way, and should it not be a fit at this time, we will stay in touch on future events later in the year. All information collected will be held in *strict confidence*, and will only be discussed between you and the retreat leader (Kristoffer Carter).

Email *

Name *

First and last name

Email *

Phone number *

I have read and agree to the following. *

I understand I would be 1 of six attendees.

I understand there will be a confidentiality policy to create a safe, open atmosphere.

No photos will be allowed inside, unless with expressed consent.

Required

When it comes to feeling at peace, complete, and on purpose, WHAT is in your way? What could it be? Don't overthink it. Feel it. 1 short paragraph max please. *

If your answer (or block) above was able to be shifted— even just a bit, or much more significantly— what would that make possible for you? *

Have you meditated consistently in the past, or are you open to creating an ongoing meditation habit? *

What do you hope to receive from this experience? *

What would you probably need to release in order to fully receive this experience? *

What would you contribute to this experience for your fellow guests? What energy do you bring into a space? *

Any additional questions, or anything we should know about you? Anything additional you need to make this a Big Honkin' YES? 🧘🏻‍♀️ 🤩 *

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of ThisEPIClife. Report Abuse

Forms