HST Retreat Registration Form
To ensure that this retreat meets your needs and is a safe space for Highly Sensitive Therapists to connect and share openly, please answer the questions below so we can make sure this event is a good fit. Some questions will be used to match you to a small consultation group during the retreat.

Once your answers are reviewed, we will send you a link to submit payment and complete your registration. We look forward to connecting with you soon.

Email info@hstretreat.com with any questions.

Retreat location: Menla Retreat Center in Phoenicia, NY

Email address *
First Name *
Your answer
Last Name *
Your answer
Gender Identity + Pronouns *
Your answer
Phone Number *
Your answer
License Type and State You Practice In *
Your answer
To verify your work as a therapist, please include a link to ONE of the following: website, LinkedIn page, Psychology Today page, Facebook business page, agency listing or other source. *
Your answer
What type of setting do you practice in? (private practice, agency, school, etc) *
Your answer
What is your specialty/niche? *
Your answer
How and when did you discover you were a Highly Sensitive Person? *
Your answer
What has changed since learning you're an HSP? *
Your answer
What would you like to take away from this retreat? *
Your answer
What would you be disappointed to not have at the retreat? *
Your answer
Do you have any food allergies or dietary restrictions? If so, please describe so we can accommodate you.
Your answer
Do you need any special accommodations?
Your answer
Is there anything else you would like us to know?
Your answer
How did you hear about the Retreat? *
Your answer
Emergency Contact (Name and Phone Number) *
Your answer
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