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Retreat Application
Please take some time to fill out this form so we can learn a bit more about you!
There is no cost to apply. After you fill out the form we will contact you soon with more information about room choice and the payment process.
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Email
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Your email
What is your name?
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Your answer
What are your pronouns?
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Your answer
Do you consider yourself part of the BIPOC community?
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Your answer
In what city would you be coming from in March 2023?
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Your answer
How did you hear about The Embodiment Retreat?
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Your answer
What is your experience with voice and/or movement programs? (No experience necessary.)
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Your answer
What occupies much of your time and energy (check all that apply)
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Taking care of family/friends
Work -- a job or several jobs
My career
Self Care including exercise and nutrition and rest
Time alone
Time socializing with friends/colleagues
Time with my significant other
Other:
Required
What takes up the LEAST amount of your time and energy? (check all that apply)
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Taking care of family/friends
Work - a job or several
Career
Self Care including exercise, nutrition and rest
Time alone
Time socializing with friends/colleagues
Time with my significant other
Other:
Required
What does your Creative Life involve these days?
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Your answer
What would you most like to change in your life? (About a paragraph or so).
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Your answer
Do you have any health (physical or mental) challenges right now that could impact your participation?
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Your answer
We will be serving a plant-based menu. Are there any other food preferences or allergies we should know about?
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Your answer
This retreat is alcohol-free for the 4 days. Is that OK with you?
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Your answer
What do you hope to gain by participating in The Embodiment Retreat in the spring?
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Your answer
Which room scenario would be your first choice? (click
here
for descriptions and pricing)
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Desert Oak Room (main house) King bed and en suite bathroom
Fig Room (main house) Queen bed, shared bathroom
Olive Room (main house) Queen bed, shared bathroom
Share Desert Oak Room (additional single bed)
Share Fig or Olive Room (additional single bed)
Agave Room or Octillo Room - (pool house) both are Shared rooms, shared bathroom
Pomegranate Room (pool house) Single room, shared bathroom
Programming only (stay off-site)
Which room scenario would be your second choice? (click
here
for descriptions and pricing)
*
Desert Oak Room
Fig Room
Olive Room
Share Desert Oak
Share Fig or Olive
Agave Room or Octillo Room
Pomegrante Room
Program only
Other:
Would you need a payment plan?
Your answer
If you have a DISCOUNT code enter here
Your answer
Who referred you to us?
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Your answer
Is there anything else you'd like us to know?
Your answer
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