RESERVE YOUR SPOT
Steps to Reserve Your Spot at the 7th Annual Rebirth & Renewal Retreat:
1. Fill out this questionnaire to let us know more about you
2. You will receive a confirmation of your reservation & an invoice to pay via email
3. This application + your payment received will reserve your space

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Email *
Your Full Legal Name *
Best Phone / Text Number to reach you: *
Are you coming alone or with a partner or friend? *
Required
Please list the names of anyone attending with you.
Have you worked with Amelía before? *
Required
What country are you a citizen of? *
Do you have a passport with at least 6 months validity? *
Required
Where will you be traveling from? (Departure destination) *
What is your age group? *
Required
What type of accommodations do you prefer? *
Required
Do you have any physical limitations or health issues that need special assistance? *
Required
Are you excited about the Whale Shark Tour? *
Required
Have you attended a conscious, transformational retreat before, or will this be your first time? *
Required
Do you meditate? *
Required
List any ALLERGIES you have to food or medications.
This is a sober retreat, will this be difficult for you? *
Required
How did you hear about this event? Who sent you the invitation? Write their full name below. *
What is your personal motivation for this trip? What do you hope to receive from your experience? *
Add any comments or questions below.
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