Canna Bliss Retreat Application 
Thank you for taking the time to fill out this application for Canna Bliss in the Catskills 🙏

Your thoughtful and thorough input will help us plan the most spectacular retreat with you in mind 🥰

Please give us 48-72 business hours to get back to you. Applications will be processed on a first-come, first-served basis as space is limited.

By applying, we're assuming that if accepted, you'll be ready to either pay in full or make your first payment. Unfortunately, we are not able to hold spaces without payment.

— Jennifer & Danielle 💜

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Email *
Name (first and last) *
Pronouns *
Do you identify as female? *
This is a retreat for women only.
Required
Birthday *
Please note this is a 21 and over event.
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DD
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YYYY
Mailing Address *
Cell Phone Number *
Emergency Contact Info *
Please include their first and last name and phone number(s).
Instagram and/or Facebook Handles *
Have you been to a retreat before? *
Required
Why would you like to attend this retreat? Select your top 3 reasons. *
Required
What is your greatest challenge at the moment? *
So we can ensure this retreat is right for you.
What are you hoping to get out of this retreat? *
We'd love to hear it in your own words.
What is your go-to EMPOWERING song?
A song that makes you feel like the badass that you are!
Please tell us about your preferred room accommodations.  *

Accommodations are based on a first-come, first-served basis. We will do our best to accommodate all requests. Select ALL options that will work for you.

Please note: Though we know not everyone will share a bed, it is our preferred arrangement to maximize capacity.

Required
If sharing a bed, who would you like to bunk with?
Please share their first and last name. 

If you're willing to be paired with anyone, please note that below.
Do you need accommodations for Thursday? *

An additional $300 — includes accommodations, Friday morning yoga and breakfast. Does not include Thursday dinner. Tavern/Restaurant on premises. Check-in after 3pm.

Required
Are you interested in visiting the original Woodstock Festival site and Bethel Woods Museum? *
Available for an additional fee of $25. This outing takes place on Friday, from 10:30am-2:30pm.
Required
Will you be flying or driving? *

Airport Transportation (in order of preference)

Stewart International Airport, Newburgh, NY

Newark International Airport, Newark, NJ

John F. Kennedy (JFK) International Airport, Queens, NY

Required
Do you have any food allergies, intolerances, or dietary requirements we should be aware of?
 *
Please tell us now, as we may not be able to accommodate late requests.
Required
Is there anything else we need to know regarding food?
Do you have any physical health challenges we should be aware of?
Do you experience sleepwalking, snoring, insomnia, or any other sleep disturbances? 
If so, please provide detail.
On a scale of 1-10, how excited are you to attend? *
Not really excited
OMG! Are we there yet?!?
How are you planning to pay?
 *
Pay in Full: Receive VIP status which includes room preference and special VIP perks throughout the weekend.
Required
Is there anything else you'd like us to know or any questions you would like answered?
Before you go, how did you hear about the Retreat? *
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