Mt. Shasta Goddess Retreat Application
Hello! We are so glad you're here and excited for the opportunity to share in the magical energy of Mt. Shasta with you in this woman's Goddess retreat, from June 4-8, 2020. Please fill out this short application and we will contact you soon.
If you have any questions please contact Amy Sikarskie by email at
or by phone at 972.835.4114
If you would like to be contacted by Skype or What's App please leave your contact info here.
How do you prefer to be contacted? Please check spam folder if you select the email option.
Email - I will check my spam folder
Any of the above
Skype audio - my username is listed above
WhatsApp audio call - my information is above
City, State & Country
If you have an instagram account, please share your username here.
This is a women’s retreat with activities focused towards the feminine energy. Are you female or identify as a female?
Yes! I am female and looking forward to sharing in this retreat.
I'm male and would love more information for future co-ed retreats & events.
I'm in my teens
I'm in my twenties
I'm in my thirties
I'm over forty
How did you hear about our Awakening Goddess retreat? Select all that apply.
Friend / Referral
Online Search Engine
If you were referred, please let us know who referred you?
Will you be joining with a friend?
Are you interested in carpooling?
Yes, from the airport, not sure which one yet.
Yes, from the airport: Medford, OR (1-1.5 hour drive)
Yes, from the airport: Redding, CA (1-1.5 hour drive)
Yes, from the airport: Sacramento, CA (4 hour drive)
Yes, from the airport: San Francisco, CA (4-5 hour drive)
Yes, from the airport: Oakland, CA (4-5 hour drive)
Yes, I'll be driving from Southern California
Have you worked with Amy or Dharma?
Yes, I've worked with both.
Yes, I've worked with Amy
Yes, I've worked with Dharma
Not yet.I'm looking forward to meeting them!
What would you like to receive or experience in our time together?
Which activities are you looking forward to? Check all that apply.
Group Meditations to awaken the Goddess within, clear and strengthen your vibration.
Group Past Life Regression - which may include messages from spirit and healing soul retrieval work.
Connecting in with the land of Hestia and the energy of Mt. Shasta.
Experiencing the cold water plunge to refresh and clear my mind, body & spirit.
Visiting Stewart Mineral Springs and experiencing their wood burning saunas, baths, and sacred feminine and masculine springs. (This is some of he purest water on earth as documented by Dr. Emoto)
Goddess Healing Circles & Ceremonies
Free time to explore the land, float in the hammock, connect with friends.
Touring sacred vortexes on Mt. Shasta with a private tour with Paul of Venus from Mt. Shasta Spiritual Tours
The delicious meals
I'm interested in hearing from The Council of Light as channelled by Amy.
Connecting with the divine goddess within and Mother Earth.
I'm interested in receiving hands on energy activations though Reiki, The Oneness Blessing, Reconnective Healing and Earth energy.
I'm looking forward to connecting with other beautiful beings and creating long-lasting friendships.
Hiking and spending time on the land.
Connecting with the Full Strawberry Moon and Stars
What are some of your personal interests and hobbies?
Mount Shasta is a sacred power center of divine feminine energy. Similar to Sedona, just being on the land and in the space begins a cleansing and activation process. Are you familiar with the energy of Mt. Shasta?
Yes! I've experienced the energies before and can't wait to return.
This will be my first time in Mt. Shasta and I'm familiar with energy upgrades and the shift that accompanies such experiences
No, this will be my first time and I'm looking forward to the cleans and integrations.
Will this be your first destination retreat?
Our hearts are happy to share many of our gifts and services throughout the retreat. Which of the following have you experienced in the past?
Energy Healing - Remote, In-Person, Group Setting
Light Body Activations
Hypnosis / Past Life Regressions
Meditation to connect with Gaia
Archangel or The Council of Light Readings and Conversations
Aura and Chakra reading
Accessing Your Akashic Records
Our chef will prepare delicious vegan / vegetarian meals. Are you strictly vegan? Do you have any food allergies we should know about?
The investment is $2,500 and due in full prior to the retreat. We have some options and specials available. You can submit your first payment to reserve your spot now ( details on next page) or after a follow up call / email with Amy. What deposit works best for you?
I would like to pay in full by January 31, 2020 and receive a discount of $500.
I would like to put a $1000 deposit for a discount of $250
I would like to put a deposit of $555 down and will make payment arrangements
I would like to put a deposit of $255 down and will make payment arrangements
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