First Name *

Last Name *

Email Address *

Phone Number *

City *

State *

Country *

Are you new to Maraya’s work, or are you an alumna of a previous program or retreat? *

If Alumni, please specify which program or retreat

How did you hear about The Inhale Retreat?

(Instagram, Podcast, Referral, Email, Friend, etc.)

What inspires you to join The Inhale Retreat at this point in your life?

(Share openly — what are you craving or ready to transform?)

How are you currently feeling in your body, energy, and overall vitality?

(Optional but encouraged — this helps us tailor your experience.)

What are you hoping to walk away with?

(Clarity, healing, reconnection, hormonal support, community, peace, etc.)

Will you be flying in and joining the full VIP experience with lodging, or are you local and inquiring about the local discounted rate?

Do you have any dietary preferences or restrictions we should be aware of? *

Do you have any injuries, health concerns, or accessibility needs we should know to best support you? *

Are you willing to be in a space of honesty, openness, and growth — emotionally, physically, and spiritually?

If accepted, are you prepared to make a financial and energetic commitment to reserve your space?

Is there anything else you’d like Maraya or the team to know as we review your application?

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