Reclamation Women's Retreat Application
Thank you for following your heart here.....

It's such an honor to immerse into Embodiment of the Divine Feminine & Sacred Liberation with you in beautiful Sedona, Arizona.

If you feel ready to join us ~ claim your space and send your retreat deposit of $900 USD. Please fill out your name and email below, and you'll receive an official welcome email with more information, and room selection within 72 hours.

If you would like to connect with us first, please fill out the full form below, and we will set up a call to chat!

With love & gratitude, 
Stacey Nelson & Samantha Charles 

*please note the deposit is non-refundable.
Email *
First and Last Name *
Email *
Phone Number *
Are you available October 3rd-7th 2024 to travel to Sedona, Arizona? *
Required
Are any friends or family joining you?  *
If yes, WHO?! 
Discount rate applies for joining with loved one :)
What interests you most about this retreat?  *
What is your experience with traditional tantra, ancient womb wisdom, and feminine embodiment?  *
Have you been on a retreat before? If so, tell us about it!
Do you feel comfortable leaning into new experiences and edges?  *
If you responded "no" or "brings up discomfort" please share a bit more with us as to why. 

We intend to hold a safe and sacred space, and wish to assure everyone is met in a way that feels deeply honored and respected. 
Is there anything you feel is holding you back from your full "YES" ? *
Is there anything else you wish for us to know or have questions about?  *
If you'd like to schedule a connection call, please book a call here. 
Thank you for your time and shares! We'll be in touch with you soon for next steps! 

:) 
Love, Stacey & Sam 
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