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The Remembering Application
Thank you for your interest in "The Remembering" March 2025.  

We are so excited to send you the application to our amazing event held in Lembongan, Bali from the 12th to 18th March 2025.

So why are we taking applications? Because we believe in ensuring that our event is perfectly aligned for each attendee. For this reason we would LOVE to get to know more about YOU, to ensure you get the MAXIMUM care, fun, results, harmony and expansion from our gathering and that you are informed on the intentions of this event, so that YOU can be sure it is for you!!

For Emily and Clare (your hosts and facilitators)-  YOU MATTER!  So one of our UNIQUE POINTS OF DIFFERENCE is that this experience is designed to lean into what you need MOST, so that we can support you as a group and personally, through this experience.  We also want you to connect and belong, to a special community of women, who just like you, are ready to explore MORE and say "I AM VALUABLE" 

And we KNOW, this can feel scary!  So, if that's you - remember - when taking action by putting yourself FIRST, you are bound to feel uncomfortable,  Why? Because you are doing something NEW and YOU ARE GROWING!  You are stepping into taking radical ownership of your beautiful and precious life. And that can feel a little weird - but if you are here, that's because something inside of you is ready for CHANGE.

Therefore, if you would like to be considered for our next exciting transformation, amplification and adventure at "The Remembering", please fill out this application form and we will be in touch shortly :)  

Much Love, Clare and Emily - your "Remembering" facilitators and hosts. xx
What is your first name?
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What is your surname?

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How did you hear about us?
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A Road Less Doubtful Instagram
A Road Less Doubtful Podcast
The Abundant Soul Instagram
The Abundant Soul Coaching Client
Friend Referral
Advert/Marketing
Other:
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Where are you flying from?

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What is your date of birth?

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Are you aware of your TIME and PLACE (city/location) of birth? (this is so that we can provide the elements of Human Design accurately for you?
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Yes I know (add in the next question box)
I cant access this information (we can chat to you about this)
I can find out
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What is your place (city/location) and time of birth?
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What gender do you identify as?

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Male
Female
Non-Binary
Other
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add "Other"
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Select the statement that best applies to you? (what statement best describes your self-development journey)
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Just starting on my self development journey and ready to evolve
Been on this path for a couple of years and loving the process - keen to go deeper
Very familiar with the self development path - there is not much I haven't experienced on this journey
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add "Other"
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Please tell us a little bit about yourself - passions, interests, fun facts about yourself (what makes you YOU)
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What do you consider your greatest strengths?

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What do you consider your greatest weakness?

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Why would you like to attend the retreat, choose your top 3 priorities
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Relaxation and timeout
Learn about Breathwork and Human Design
Meet my soul family and make friends for life
Put myself and my needs first for once
Celebrate and let my hair down
Release some tension and stress
Visit beautiful Lembongan and experience some culture
I NEED A BREAK
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What are you hoping to get out of this retreat, in your own words?

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Are there any particular areas you feel a strong PULL towards focusing on  at "The Remembering" when it comes to the ways in which you would like to support yourself going forward? (pick up to 3 options)
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Creating Stronger Love/Relationships - with self and others
Self Empowerment - overcoming people pleasing and learning to nourish my JOYS
Inner Child Healing
Shadow Work/Shadow Integration
Overcoming self doubt/self sabotage
Creating Change/Setting Strong Goals for Internal and external shifts
Understanding Your Core Wounds/Belief Systems and how to overcome them
Tools to give you clarity and direction
Tools to help manage anxiety and calm the nervous system
Discovering your purpose/unique gifts and bringing them into reality
Other:
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What questions do you need answered before you can commit to the retreat?

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Will you be coming solo or with company?

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Solo
WIth one other
A little group
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add "Other"
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Please share the names of anyone you are traveling with?
Please ensure everyone else submits an application, or skip if non applicable.

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What is your relationship with your person/group - skip if non applicable.

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Partner
Friend
Family
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add "Other"
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Have you ever used Human Design before?
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A little
Ive been using this a while now
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Have you ever utilised Breathwork practices before?
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A little
Ive been using this a while now
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Which room/bed option are you looking to book? Prices are dependent on the offer available at application - please see our landing page for reference.
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Private Villa - SINGLE OCCUPANCY
Private Villa - DOUBLE OCCUPANCY
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Would you like to pay upfront (maximum savings) or via a payment plan? 

Please note - payment plans will be determined on the time remaining prior to the start of the retreat and will need to be paid IN FULL PRIOR to leaving. We can give you more options, the earlier you apply.  

IMPORTANT - THERE ARE NO REFUND OPTIONS FOR OUR EXPERIENCE. A lot of time and organisation goes into booking excursions, travel on the island and special occasions. Numbers are therefore locked in and refunds cannot be offered.  You are welcome to TRANSFER your booking to a friend and we will do our best to assist you if we have someone on our waitlist.  We recommend when applying you take on the mindset that you are making a COMMITMENT to yourself and your own personal progression by meeting the payments fully.
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I want to pay in full for maximum savings
I want to explore payment plan options
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add "Other"
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Are you open to sharing a room with someone we match you with, if all beds are taken? Considerable discounts are given on room shares!!  We have had attendees to retreats share without an issue and we take care to match you up with someone suitable to share a room with. (Please note due to room configurations we may prioritize guests open to sharing) #sleepovervibes

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Yes, Im open to sharing
No, I prefer my own bed
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Do you have any food allergies or intolerances?

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Do you have any physical health challenges?

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Are you currently or have you in the past suffered from any form of mental health challenges? e.g PTSD, depression, eating disorders, OCD, panic attacks/night terrors, bipolar, schizophrenia etc. If yes please give details?
Disclaimer: We do not judge and ensure that this information is kept confidential. We ask in order to understand personal healing requirements.

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Breathwork is one of the practices we use and teach on The Remembering.  For this reason we would like to point out that is not recommended for people with a personal or family history of epilepsy, seizures, cardiovascular problems including angina or heart attacks, high blood pressure, aneurysms, glaucoma, retinal detachment, osteoporosis, or recent physical injuries, surgery or illness - particularly involving the brain, mouth, teeth, nose, throat, thyroid, immune system, lymphatic system, lungs, chest, ribs, spine, neck and/or reproductive organs. Breathwork is not recommended for people with a personal history of mental illness, personality disorders, hospitalization for any psychiatric condition or emotional crisis, suicidality, psychosis, drug or alcohol addiction. 

Do you have any of the above conditions that we may need to know about?
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Yes
No
Other:
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Are you currently taking any prescribed medication?
If yes please give some details.

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Do you have any phobias? If so, please provide details.

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Do you have or have ever experienced sleep walking, snoring, insomnia or any other sleep disturbances? If so, please provide detail.

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Do you have any past or present addictions? Alcohol, drugs, gambling, etc.
Disclaimer: We do not judge and ensure that this information is kept confidential. Skip if not applicable.

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What is your best email address?
We will contact you via email regarding the status of your application.

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What's your mobile number?
We will SMS you to let you know if your application is successful. Please note we don't use it for any other purpose.

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What is your instagram handle?

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Is there anything else you'd like to tell us?

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What is your first name?
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What is your surname?

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How did you hear about us?
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Where are you flying from?

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What is your date of birth?

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Are you aware of your TIME and PLACE (city/location) of birth? (this is so that we can provide the elements of Human Design accurately for you?
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What is your place (city/location) and time of birth?
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What gender do you identify as?

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Select the statement that best applies to you? (what statement best describes your self-development journey)
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Please tell us a little bit about yourself - passions, interests, fun facts about yourself (what makes you YOU)
No responses yet for this question.

What do you consider your greatest strengths?

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What do you consider your greatest weakness?

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Why would you like to attend the retreat, choose your top 3 priorities
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No responses yet for this question.

What are you hoping to get out of this retreat, in your own words?

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No responses yet for this question.
Are there any particular areas you feel a strong PULL towards focusing on  at "The Remembering" when it comes to the ways in which you would like to support yourself going forward? (pick up to 3 options)
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No responses yet for this question.

What questions do you need answered before you can commit to the retreat?

No responses yet for this question.

Will you be coming solo or with company?

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No responses yet for this question.

Please share the names of anyone you are traveling with?
Please ensure everyone else submits an application, or skip if non applicable.

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No responses yet for this question.

What is your relationship with your person/group - skip if non applicable.

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No responses yet for this question.
Have you ever used Human Design before?
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No responses yet for this question.
Have you ever utilised Breathwork practices before?
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No responses yet for this question.
Which room/bed option are you looking to book? Prices are dependent on the offer available at application - please see our landing page for reference.
Copy chart
No responses yet for this question.
Would you like to pay upfront (maximum savings) or via a payment plan? 

Please note - payment plans will be determined on the time remaining prior to the start of the retreat and will need to be paid IN FULL PRIOR to leaving. We can give you more options, the earlier you apply.  

IMPORTANT - THERE ARE NO REFUND OPTIONS FOR OUR EXPERIENCE. A lot of time and organisation goes into booking excursions, travel on the island and special occasions. Numbers are therefore locked in and refunds cannot be offered.  You are welcome to TRANSFER your booking to a friend and we will do our best to assist you if we have someone on our waitlist.  We recommend when applying you take on the mindset that you are making a COMMITMENT to yourself and your own personal progression by meeting the payments fully.
Copy chart
No responses yet for this question.

Are you open to sharing a room with someone we match you with, if all beds are taken? Considerable discounts are given on room shares!!  We have had attendees to retreats share without an issue and we take care to match you up with someone suitable to share a room with. (Please note due to room configurations we may prioritize guests open to sharing) #sleepovervibes

Copy chart
No responses yet for this question.

Do you have any food allergies or intolerances?

Copy chart
No responses yet for this question.

Do you have any physical health challenges?

Copy chart
No responses yet for this question.

Are you currently or have you in the past suffered from any form of mental health challenges? e.g PTSD, depression, eating disorders, OCD, panic attacks/night terrors, bipolar, schizophrenia etc. If yes please give details?
Disclaimer: We do not judge and ensure that this information is kept confidential. We ask in order to understand personal healing requirements.

No responses yet for this question.
Breathwork is one of the practices we use and teach on The Remembering.  For this reason we would like to point out that is not recommended for people with a personal or family history of epilepsy, seizures, cardiovascular problems including angina or heart attacks, high blood pressure, aneurysms, glaucoma, retinal detachment, osteoporosis, or recent physical injuries, surgery or illness - particularly involving the brain, mouth, teeth, nose, throat, thyroid, immune system, lymphatic system, lungs, chest, ribs, spine, neck and/or reproductive organs. Breathwork is not recommended for people with a personal history of mental illness, personality disorders, hospitalization for any psychiatric condition or emotional crisis, suicidality, psychosis, drug or alcohol addiction. 

Do you have any of the above conditions that we may need to know about?
Copy chart
No responses yet for this question.

Are you currently taking any prescribed medication?
If yes please give some details.

Copy chart
No responses yet for this question.

Do you have any phobias? If so, please provide details.

Copy chart
No responses yet for this question.

Do you have or have ever experienced sleep walking, snoring, insomnia or any other sleep disturbances? If so, please provide detail.

Copy chart
No responses yet for this question.

Do you have any past or present addictions? Alcohol, drugs, gambling, etc.
Disclaimer: We do not judge and ensure that this information is kept confidential. Skip if not applicable.

Copy chart
No responses yet for this question.

What is your best email address?
We will contact you via email regarding the status of your application.

Copy chart
No responses yet for this question.

What's your mobile number?
We will SMS you to let you know if your application is successful. Please note we don't use it for any other purpose.

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No responses yet for this question.

What is your instagram handle?

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Is there anything else you'd like to tell us?

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