Dream Camp Application Form
A 7 nights, all inclusive Transformational Retreat in Costa Rica.
Sacred Mushrooms, Breathwork, Integration & Community.

Come meet a soul family that values collective wisdom and empowers authenticity!

Experience an intentionally designed program and be inspired to honour your needs with spaciousness and adaptivity.

Inner-work, while sincere, it does not need to be serious. Healing is a beautiful and necessary part of your evolution.

Throughout your life you will be challenged and our mission is for you to build resilience, find joy in the process and feel more connected to who you really are!

Please take a few minutes to complete this form before we confirm your booking. All information remain strictly confidential. If you have any further questions please email: clem@casafinawellness.com
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Which dates are you interested in 2024-2025? *
Email Address *
Name *
Date of Birth *
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What's app phone number  *
add your country code
Describe yourself in 3 words *
What are you struggling the most with in your life currently? *
What do you feel you need? *
What do you desire from this retreat? *
What have you been doing to help yourself? *
For example; connecting to your emotions, attending yoga classes, breathwork, therapy, retreats, speaking to friends, made changes, praying for help, nothing (which is ok!) ect...
What are you into? *
What do you love, interested in, passion ect...
What concerns or fears do you have about participating in this retreat? *
Be honest, all is welcome :)
Do you have any experience with the following practices/ experiences?
 *
Required
Do you have any health issues?
 *
Please list current medication and/or medical alternative treatments.
Please share your mental health history *
Please list current medication and/or medical alternative treatments.
Do you have any heart problems?
 *
Are you pregnant?
 *
Are you working with any of the following:
 *
Glaucoma, uncontrolled high blood pressure, cardiovascular issues such as angina, detached retina, previous heart attack or stroke, severe PTSD or trauma, diagnosed aneurysm in the brain or abdomen, uncontrolled thyroid conditions or diabetes, asthma, epilepsy, stomach ulcers, history of bipolar disorder or schizophrenia, or any psychiatric hospitalisation or emotional crisis within the past 10 years?

If yes, please provide an overview as this may mean not being able to participate in some parts of this retreat.
How did you hear about us and our retreat?
Would you like to be added to the mailing list to find out more about retreats, breathwork, and conscious personal development tools?
 *
What accommodation type are you looking for? *
I acknowledge that I am voluntarily participating in the dream camp experience and I understand that the practice of breathwork and psychedelics may bring up emotions, feelings and physical sensations that can be intense and potentially uncomfortable. I take full responsibility for my participation in these sessions and any consequences that may arise from them.

I understand that it is my responsibility to communicate any discomfort, pain, or other concerns to one of the facilitators before or during the session(s). I also understand that I am in control and the right to stop or modify my participation in the session(s) at any time.

I am happy to continue with the upcoming Dream Camp retreat:
 *
Thank You!
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