RE-SELFING

APPLICATION FORM

Full Name *

Email *

Phone *

For WhatsApp Communication

Location *

City, State, Country

Please check the box next to any of the events listed below that you are:

(a) Interested in; AND

(b) Available to attend all sessions, at the designated times, including the group integration call.

**IMPORTANT: If you cannot attend any single session, please do not check the box

All in-person events take place from Friday to Sunday. The schedule is as follows:

Friday: 6pm-10pm
Saturday: 10am-9pm
Sunday: 10am-8pm

*Includes an additional 1.5hr group integration call, after the event.

Dec '25 - Feb '26

RSL 5: Dec 12-14, 2025 (Integration call: Weds Dec 17th - 6pm MT)

RSL 6: Jan 9-11, 2026 (Integration call: Weds Jan 14th - 6pm MT)

RSL 7: Feb 13-15, 2026 (Integration call: Weds Feb 18th - 6pm MT)

January '26

RSO 2: Jan 5th - 19th - Mondays & Wednesdays · 10am – 12pm MT (Integration call: Mon Jan 26th - 10am MT)

RSO 3: Jan 5th - 19th - Mondays & Wednesdays · 6pm – 8pm MT (Integration call: Mon Jan 26th - 6pm MT)

RSO 4: Jan 6th - 20th - Tuesdays & Thursdays· 10am – 12pm MT (Integration call: Tues Jan 27th - 10am MT)

RSO 5: Jan 6th - 20th - Tuesdays & Thursdays · 6pm – 8pm MT (Integration call: Tues Jan 27th - 6pm MT)

RSO 6: Jan 21st - Feb 4th - Wednesdays & Fridays ·10am – 12pm MT (Integration call: Weds Feb 11th - 10am MT)

February '26

RSO 7: Feb 16th - Mar 2nd - Mondays & Wednesdays · 10am– 12pm MT (Integration call: Mon Mar 9th - 10am MT)

RSO 8: Feb 16th - Mar 2nd - Mondays & Wednesdays · 6pm – 8pm MT (Integration call: Mon Mar 9th - 6pm MT)

RSO 9: Feb 17th - Mar 3rd - Tuesdays & Thursdays· 10am – 12pm MT (Integration call: Tues Mar 10th - 10am MT)

RSO 10: Feb 17th - Mar 3rd - Tuesdays & Thursdays· 6pm – 8pm MT (Integration call: Tues Mar 10th - 6pm MT)

Participant Readiness Application

Re-Selfing is a guided storytelling ritual - a space to remember who you truly are, re-author the narratives that shape your life, and reclaim the voice of your Soul.

This is not therapy. It’s a creative, reflective process designed for individuals who are resourced, self-aware, and ready to engage in authentic inner work within a group container.

These questions help us discern alignment and timing, ensuring every participant enters from a place of stability, readiness, and wholehearted yes.

Please answer honestly and in your own words. There are no right or wrong answers - only your truth in this moment.

1. The Call

What’s calling you to Re-Selfing right now? What do you sense this experience is inviting you to reclaim, remember, or re-write in yourself? *

2. The Journey You're On

How would you describe the current chapter of your personal growth or healing journey? What themes, edges, or invitations are most alive for you right now? *

3. Relationship with Responsibility

When challenge or discomfort arises, how do you typically meet it? What helps you stay in ownership rather than in blame, avoidance, or collapse? *

4. Support and Regulation

Re-Selfing can stir deep feeling.

When strong emotions arise, how do you typically meet them, and do you feel resourced to stay regulated and present as they move through?

Do you currently have the emotional capacity and support to stay engaged with what arises during the course of this program? *

5. Stability and Capacity

Are there any current circumstances - such as health, relationships, finances, or emotional well-being - that might limit your ability to stay fully present and grounded during this program?

This might include things like high stress, recent loss, major life transitions, anxiety, depression, or a history of panic or trauma that feels actively present.

Please share only what feels appropriate. Your honesty helps us discern if this is the right season for you to participate. *

6. Prior Experience

Have you participated in personal development, therapy, or transformational work before? If so, please share what kind of work you’ve done and what you found most supportive or challenging. *

7. Availability

Can you commit to attending all sessions and the integration call? This is an immersive container that requires full presence and attention to honor everyone’s journeys. *

Yes

Maybe

8. Consent & Readiness

Please read and affirm:

I understand that Re-Selfing is a reflective storytelling process and not a therapeutic intervention.

I affirm that I am emotionally stable, self-responsible, and able to regulate myself within a group environment.

If I experience distress, I agree to seek appropriate support outside of the program.

Please select the option below if you agree. *

I have read and agree to the above statement.

9. Optional Notes

Is there anything else you’d like us to know as we discern fit and placement?

Please fill out your payment details *

Re-Self Online Application Fee

$100

Please check this box to confirm that you understand that you are paying a fully refundable $100 application fee (upon full attendance, or if you aren't accepted)

If you have any questions or would like to hope on a brief call to speak with one of our team, please reach out to [email protected].