YOUR APPLICATION TO AN EXCLUSIVE RETREAT

PERSONAL INFORMATION:

Full Name *

Phone *

Email *

Current City & Country of Residence

ALIGNMENT & INTENTION

What is calling you most powerfully to this retreat in Andalusia, Spain?

What is your primary vision or goal for your life and business/leadership heading into 2027 and beyond?

Have you participated in deep inner work, somatic healing, or transformational retreats before?

Yes, I am deeply familiar with this work.

I have some experience.

No, this will be my first time—and I am ready.

LOGISTICS & PREFERENCES

Do you have any dietary restrictions, allergies, or special physical accommodation needs?

How did you hear about this experience?

Application Acknowledgment *

I understand that this is an exclusive, small-group immersion running from January 21–27, 2027, in Almodóvar del Río, Spain. I acknowledge that submitting this application allows Ellie and Lorraine to review my responses, after which a call will be scheduled to ensure mutual alignment before details on investment and enrollment are shared.