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The Remembering Application
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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)
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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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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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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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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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Have you ever used Human Design before?
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Have you ever utilised Breathwork practices before?
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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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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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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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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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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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