Soul Song Retreat Application
Connect with your WHY for wanting to participate in this transformational experience, get clear in your intentions, and allow the magic to unfold...



PLEASE READ:

Application form for Soul Song Retreat May 15-21, 2020, Finca Mia, Costa Rica

*If you don't receive a confirmation message and a copy of your responses, please send us an email at: astaria@lightofsound.com
Email *
Full Name *
Phone and/or WhatsApp Number (include Country code) *
Address *
Emergency Contact (name, relationship, best way to reach this person) *
Social Handles / Website *
What is your birth date, time, & location? *
MM
/
DD
/
YYYY
What are your intentions for joining us at the Soul Song retreat? *
Have you traveled internationally before? Do you have any concerns about traveling to Costa Rica? *
Have you participated in a transformational retreat before? (If so, what were the themes and how was your experience?) *
What life themes and challenges are most alive in your personal journey of healing and transformation at the moment? *
Describe your relationship with your voice? *
How do you feel about singing in front of and with others? *
How do you feel about ecstatic dance? Do you have a relationship with this modality? *
How do you feel about meditation? Do you have a meditation practice? *
What or how would you like to transform during this retreat experience? *
What are you most excited about experiencing during this retreat? *
How do you feel about plant medicine? Do you have a relationship with this modality? Are you interested in adding extra singing nights that include sacred Amazonian plant medicine? *
Do you have any allergies or medical conditions that we should be aware of so we can best support you?
Finca Mia serves 3 healthy vegetarian meals per day, with occasional offerings of chicken and fish. Gluten free, dairy free, and vegan is available upon request. Do you have any specific dietary requirements?
Please check if any of the following apply. Your answers will not exclude you from the retreat. However, since this can be an intense experience, we just need to be aware so we can best support and hold space for your highest good. *
Required
What else would you like to share with us to help us get to know you better?
Would you like to book private accommodation during the retreat for an extra cost?
Clear selection
Thank you so much for connecting and sharing with us.***Please read: if you don't receive a confirmation message and copy of your responses, please send us an email at: astaria@lightofsound.com
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Jennifer Kathryn. Report Abuse