Retreat Application
Please take some time to fill out this form so we can learn a bit more about you!

There is no cost to apply. After you fill out the form we will contact you soon with more information about room choice and the payment process.
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Email *
What is your name? *
What are your pronouns? *
Do you consider yourself part of the BIPOC community? *
In what city would you be coming from in March 2023? *
How did you hear about The Embodiment Retreat? *
What is your experience with voice and/or movement programs? (No experience necessary.) *
What occupies much of your time and energy (check all that apply) *
What takes up the LEAST amount of your time and energy? (check all that apply) *
What does your Creative Life involve these days? *
What would you most like to change in your life? (About a paragraph or so). *
Do you have any health (physical or mental) challenges right now that could impact your participation? *
We will be serving a plant-based menu. Are there any other food preferences or allergies we should know about? *
This retreat is alcohol-free for the 4 days. Is that OK with you? *
What do you hope to gain by participating in The Embodiment Retreat in the spring? *
Which room scenario would be your first choice? (click here for descriptions and pricing) *
Which room scenario would be your second choice? (click here for descriptions and pricing) *
Would you need a payment plan?
If you have a DISCOUNT code enter here
Who referred you to us? *
Is there anything else you'd like us to know?
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