The Self Care Retreat Application
Application fee is $35. When submitting, add the $35 in the pay amount on the link. Application fees are non-refundable.
First & Last Name
Are You Interested In Jamaica or Colombia?
Would You Be Available To Travel in June or July for Jamaica?
Would You Be Available To Travel in June for Colombia?
Do You Have Your Passport? (answering "no" will not disqualify you from attending the trip).
What Is Your Occupation?
What Does Self Care Mean To You?
Why Do You Need This Vacation?
A copy of your responses will be emailed to the address you provided.
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