Ceremonia Retreat Application~ April 20 - 24th
Beloved Sister, 
We welcome you to join us for this divine experience. 
Immerse your voice & the embodiment of the divine feminine in the luxury of Hawaii. 
Amma Sophia Rose has created a phenomenal goddess temple on her property for us all to enjoy. 
We are so delighted to host you! We will create memories of a lifetime. 
This will be a profound life changing experience. Here to hold & embrace every single cell of you. 
We welcome you home. 
With all of our love,
Amma Sophia Rose & Dominique Zuniga 
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Email *
Name *
Whats App Phone Number *
Have you attended a retreat, workshop, or ceremony, hosted by one of our facilitators in the past? Which facilitator? *
What is your intention in joining This Woman’s Retreat? What do you hope to receive, develop, or expand upon in your time with us? *
Please share something that you are currently working through, seeking to transform within yourself. *
What is your current relationship to your voice & feminine embodiment practices? Please briefly emphasize something specific that you are seeking to explore. *
Are you sensitive to particular scents or sacred smudges? *
Have you tested positive or been exposed to COVID in the last 14 days? Please be very cautious of your health the last week upon arriving to the retreat. Take extra care. *
Do you have any physical injuries, disabilities, or have you undergone any surgical procedures that we should know about? *
Do you have a history of mental illness or a genetic disposition to mental illness? *
Are you taking any medication ? If so , please state which one . This does not make you exempt from this retreat or any of the activities involved, this is just for our awareness. Thank you!


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Please provide an emergency contact. Include their name, number, and your relationship to this person. *
Are you prepared to financially invest in this transformative journey, for your creative expansion and embodiment of the divine feminine ? *
Pricing  *
Dharma Crew is required to show up early before the retreat start date and stay after the retreat. 

You will help clean up , drive to the store to get the food , and meal prep the food.  You will be given a list of what to clean up, what food to purchase, & prep to make this. as easy as possible for you.  You will simply follow the checklist exactly as it is. 

There are 5 meals to be prepared & 2 hearty snacks for about 10-18 women. 

You will split this task among 3 other sisters making it 4 sisters total as apart of the dharma crew. We hope that you make it fun, easeful , & rich with integrity working as an amazing team! 

Are You qualified to join the dharma crew discount? 


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Are you interested in booking accommodation on the property as well ?

It is an extra fee of $230 USD. 
*Dharma Crew Excluded. Dharma Crew pays $700 flat 

This is a shared Glamping style tent on the property.  
Very beautiful property. A goddess temple. 
Very comfortable & luxurious. 
PM for more pictures. 

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After you make the deposit of $555 to reserve your space (Non-refundable), Which Payment Plan would you prefer ?  *
Please let us know the best way to contact you & we will be in touch upon reviewing your application status. 
Format: (Phone number, email, socials.)
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Any other questions, comments or concerns are welcome here. Thank You !
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