Full Name
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Phone
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Email
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Have you done expressive, creative, or embodied work before (art, breathwork, yogic practice)?
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Yes — and I'm open to going deeper
A little — and I'm ready for more
No — but I feel genuinely called to this
I have hesitations I'd like to talk through
Can you travel to Playa Hermosa, Costa Rica for the full duration of the retreat — November 1–7, 2026?
Yes, I can be there for the full experience
I have some conflicts but can make it work
No, I cannot make those dates
The investment for this retreat is $3,699 for a shared room, $4,299 for a private one and $4,699 for an ocean view. Is that within your reach right now? *
Yes, I'd like the ocean view room.
Yes, I'd like a private room.
Yes, I'd like a shared room.
It's a stretch but I'm committed to making it work
No, it's not possible right now