Retreat Application | WELLKULÅ Longevity Retreat: The Woman’s Wellness Code Edition | Terceira Island, Azores | October 21–25, 2025
This retreat is by application only to ensure alignment and intimacy. Please answer the questions below with intention. We will review all submissions and notify selected applicants.
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Full Name  *
Email Address
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Phone Number
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City, State, and Country
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Instagram Handle
What inspired you to apply for this retreat?
Tell us what called you to this experience.
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Where are you in your wellness journey right now?
Briefly describe any challenges, patterns, or shifts you're navigating.
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What are you hoping to receive or shift during the retreat?
Physically, emotionally, spiritually—feel free to be honest.
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Have you ever attended a wellness retreat before?
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Are you comfortable sharing and connecting in a group of like-minded women?
This is a safe, sacred container for deep work and sisterhood.
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Are you available to travel to Terceira, Azores from October 21–25, 2025?
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Do you have any dietary restrictions or allergies?
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How did you hear about this retreat? 

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Anything else you'd like us to know?
Use this space for questions, thoughts, or what your heart wants to say.
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