The Journey Within Application Form

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Welcome! We are honored to support you in your journey towards self-discovery and healing. We take the wellness and safety of every person who attends seriously. As such, we ask that you answer all questions in this form honestly. If there are any issues that might prevent you from safely attending a retreat with us, we will follow up with you.

**IMPORTANT**

1. Your registration is not complete until this form has been reviewed by our team AND we have received a payment. Once your form has been reviewed, you will receive an initial email notifying you we have received your application with additional payment instructions from hello@journeywithinretreat.com. Once payment is received, you’ll receive a final email confirming your spot.

*PLEASE CHECK YOUR SPAM FOLDER*

2. Please do not book flights until we have confirmed your attendance. We are not liable for any flight costs that are incurred before your booking has been confirmed.

First name *

Last name *

Phone number *

Email address *

How old are you? *

Gender *

Female

Male

Non-binary

Other:

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