Let’s Begin: Alignment Retreat Intake

Thank you so much for your interest in joining my Alignment Retreat. This form is designed to help me thoughtfully curate a small group experience that feels safe, supportive, and aligned for everyone involved. Your honest responses will help me understand your intentions and energy, and whether this particular retreat is the right fit at this time.

✨ The next Alignment Retreat will be held on June 22, 2025
Registration closes June 6th

Please note: Submitting this form does not guarantee a spot. With only 6 seats available, I carefully review each submission to ensure the group dynamic will be cohesive and nourishing. If it feels like a good fit, I’ll send you a link to complete your registration and reserve your spot.
Cost to attend is $111.

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These are the upcoming retreat dates. Please mark which you are interested in attending:  *
Full Name *
Your current city & state *
Email Address *
What drew you to this retreat? *
What are you hoping to get out of this experience? *
Do you have any experience with Human Design? If so, please describe. *
Are there specific parts of your Human Design you're curious to explore more deeply? *
Have you explored any other personal development, healing, or spiritual modalities? If so, which ones and how recently? *
Is there something you're currently navigating in your life that you'd like support, clarity, or insight around? *
Do you have any current health or well-being considerations (physical or mental/emotional) that would be helpful for me to know when planning the day? *
How did you hear about my Alignment Retreats? *
Are you able to attend the full retreat day (1-5pm)? *
Dietary restrictions (for refreshments)? *
Cacao, especially in its raw or unprocessed form, contains several compounds that can potentially interact with certain medications and health conditions. These include: 

1. Caffeine and Theobromine:

Stimulant effects: Caffeine and theobromine are stimulants that can increase heart rate and blood pressure. This can be problematic for individuals with pre-existing heart conditions, high blood pressure, or anxiety disorders. 
Interactions with stimulant drugs: Combining cacao with other stimulant medications (like those for ADHD) or with other substances that stimulate the nervous system (e.g., ephedrine) may increase the risk of serious side effects such as high blood pressure and heart complications. 
Interference with sedatives and certain seizure medications: Cacao's stimulant properties may counteract the intended effects of sedatives and certain seizure medications. 

2. Tyramine:
Interaction with MAOIs: Cacao contains tyramine, an amino acid that can interact dangerously with monoamine oxidase inhibitors (MAOIs), a class of antidepressants. This interaction can lead to a hypertensive crisis, a sudden and dangerous increase in blood pressure. 

3. Flavonoids:
Potential interaction with blood thinners: The flavonoids in cacao can have a mild anticoagulant effect, which may enhance the action of blood-thinning medications (like warfarin or aspirin), increasing the risk of bleeding. 

4. Diuretic effect of Theobromine:
Interaction with diuretics: Theobromine has a diuretic effect, increasing urine production. Combining cacao with diuretic medications may increase the risk of electrolyte imbalance, such as dangerously low potassium levels. 

5. Other potential interactions:
Antidepressants (SSRIs and others): Cacao can interact with other antidepressants, potentially affecting serotonin levels and leading to serotonin syndrome. Asthma medications: The caffeine in cacao can stimulate the heart, and combining it with certain asthma medications that have similar stimulating effects may cause excessive stimulation and heart problems. 

**Ultimately, please consult your doctor if you have any concerns or questions about consuming pure cacao. By choosing to drink cacao at the retreat, I will assume you’ve done your due diligence and determined it is safe for you.

*
You will need your Human Design chart to participate in this retreat and I will need it in advance so I can learn about your Human Design prior to the retreat.

Even if we have worked together before, please provide your: Birth Date, Birth Location and EXACT Birth Time. *

Thank you so much for sharing your responses.
I’ll be in touch soon after reviewing your form. If it feels like the right fit, you’ll receive the link to complete your registration and officially reserve your spot.

If you have any questions in the meantime, feel free to reach out: megan@megansoncksen.com

I’m so grateful for your interest in this experience.

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