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Application For Next Spiritual Healing Retreat (4/23/20-4/27/20) in Phoenicia, NY. Please understand that there is limited space available and this is on a first come first serve basis. All previous retreats have sold out in advance.
Thank you for your interest in coming to our next spiritual retreat!

We are very selective with who we allow to come to our events because we intend to keep the energy sacred. If your application is approved, someone from our team will be in contact with you for the next steps to register for our retreat!

Sending you infinite love!!
Email address *
Have you watched the retreat video below? *
Watch The Video Before Applying! (Sound On)
Your phone number *
Your answer
How did you hear about the retreat? If someone referred you, please drop their name! *
Your answer
Do you give The Jake Woodard Retreat Team consent to reach out to you via text/email? *
Your age *
Your answer
Your location *
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Your Full Name *
Your answer
Please select your gender *
Please share your Instagram Username *
Your answer
Are you able to attend the dates of the retreat April 23-27 in Phoenicia, NY? *
Your job or business description *
Your answer
Do you have any physical limitations? Are you currently taking any medications? *
Your answer
What are 3 things you would like to work on by attending this retreat? *
Your answer
Are you planning to come to this retreat alone or with someone else? *
Your answer
What is your current relationship status? Please describe. *
Your answer
What are your biggest challenges that you face in life right now? *
Your answer
What are your spiritual/religious views? *
Your answer
Have you invested in your personal growth? (Seminars, coaches, healers, retreats) If so please describe in detail. *
Your answer
On a scale of 1-10 (10 being the highest) How committed are you to your healing and transformation? *
Low
High
What is the best way for us to contact you? *
If your application is approved, are you willing to invest $2,495 in your spiritual healing and transformation to attend this event? We do have payment options available. Please give us a snapshot of your current financial situation. *
Your answer
Please tell us a little bit about yourself and why you feel you would be a good fit for our next retreat? *
Your answer
Is there anything else you would like to share with us? *
Your answer
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