Yay! We’re so excited you’re going to join us!

Please complete the registration form below.

Guest Information

First Name

Last Name

Phone

(###)

###

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Emergency Contact Information

First Name

Last Name

Phone

(###)

###

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Do you have any allergies or dietary needs we should be aware of?

(Please include food sensitivities, medical allergies, or preferences like vegetarian, gluten-free, etc.)

Do you have any accessibility or mobility needs?

(Let us know how we can support your comfort throughout the weekend.)

Do you have any current health concerns or conditions you'd like us to be aware of?

(Optional – for your safety and our planning)

Will you be attending solo or with a Pal?

(If attending with a friend, feel free to share their name so we can pair you for rooming or activities.)

What drew you to this retreat?

(No pressure—just share what called you in.)

Have you tried Reiki, meditation, or guided journaling practices before?

if so, please feel free to share your experience.

Is there anything else you'd like us to know to support your experience?

(We’re here to create a space where you feel fully seen and supported.)

How would you like to handle payment?

NOTE: Payments Non-Refundable

Pay in full today

Pay 50% down (balance due Sept 1)