ЯR Application Form
General Information + need to know:

𓆃 Check in time is 10 AM EST on FRIDAY  4/5/2024 and check out will be 4:30 PM EST on 4/7/2024.

𓆃 Itinerary details, what to pack + travel information will be sent to the email provided on this form with your invitation to join us.

𓆃 We have a set capacity for pricing options + available spots. If your application is submitted after spots are filled, we will put you on our waiting list for upcoming retreats, events and circles.

Thank you for your interest in joining us for ЯR, we look forward to connecting with you ♡
Sign in to Google to save your progress. Learn more
Email *
First + Last Name *
Do you have a preferred name or pronouns we should be aware of? *
Instagram Handle *
Do you have a chosen name or pronouns you prefer? *
Phone Number *
What sleeping accommodations do you prefer? 
Options are limited and first come, first serve.
 *
Required
What payment option feels best for your situation? *
Do you have food allergies or diets we should be aware of? *
We may be able to provide additional overnight accommodations if needed to support your travel plans.

Overnight stay (outside of the retreat) $50 / night

Please share your desired check in / check out dates below.

Someone from our team will contact you directly to complete booking and can answer additional questions :)
 *
How did you hear about this retreat? *
Do you have questions you'd like to ask before signing up? 

We can help with planning flights, addressing any concerns about logistics and anything else you may want to explore ♡
 *
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms