We take great care to ensure the retreat is right for each participant. After completing this form we will do an initial call to discuss your situation, goals and the retreat.
1. Complete this form
2. Phone call to assess if you are a fit for the program
3. We'll send documentation
4. You pay non-refundable deposit to secure position
5. Welcome to the program, everything you need to know
6. Join the Retreat Whatsapp group to connect with fellow participants

Full Name*

Your Email*

Your Mobile*

City or town of residence*

Which retreat are you interested in?*
The Mindful Leader – Indian HimalayaThe Conscious Woman – Costa RicaThe Conscious Human – Bali

Why do you think this retreat would be good for you?*

What are you hoping to get out of this retreat?*

Preferred time for application assessment call*
Business hours (9-5 Monday-Friday)After hours (8-9am 5-8pm Monday-Friday)