Prana Couples Retreat - Registration Form
This retreat will be held March 1-6, 2020 at the Prana Del Mar Retreat & Wellness Center in Cabo, Mexico. Please fill out the following information for you and your partner.
First Name *
Your answer
Last Name *
Your answer
Email Address *
Your answer
Address *
Your answer
Phone Number *
please indicate if this is a work, home, or cell phone line
Your answer
Partner's name and contact information *
Your answer
Emergency Contact *
please include name, relationship, and phone number
Your answer
How would you like to pay the $400 non-refundable deposit? *
Application Questions
Please respond to the following questions with as much detail as possible.
What do you hope to gain from attending this couples retreat? *
Your answer
What would you like us to know about you right now? *
Your answer
Are you familiar with the Internal Family Systems model and Intimacy from the Inside Out? *
Your answer
Retreat options
The remaining questions pertain to lodging and meals during the training.
What is your lodging preference? *
Please keep in mind that you may not get your first choice.
Do you have any dietary restrictions or food allergies?
In regards to meals provided at the retreat
Your answer
Please tell us about any special needs you have so that we may best accommodate you.
Your answer
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