Rest & Return Retreat: Island of Dominica 
Island of Dominica
January 14 - 19, 2027

Complete your application form and submit your deposit to secure a spot on your next trip of a lifetime!

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Email *
Name: *
Phone: *
Date of Birth: *
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Address:
Emergency Contact (Name & Phone Number) *
Please select your room preference. Your total payment cost will be noted to reflect the option and price you choose below. *
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Double Accommodations Bed Preference: If you are choosing a Double Occupancy Room, please choose if you prefer two single beds or a shared king-size bed
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Double Accommodations Roommate: please list your roommate's name below. If you do not have a roommate, we can try to pair you with a roommate, yet if we cannot pair you with anyone, you will be required to pay the single occupancy room price.
Why are you interested in joining this retreat? What are you looking to receive from this experience? *
Do you have any allergies, restrictions, or dietary preferences we should be aware of? *
Please provide your T-shirt or Tank size *
Transportation to/from Dominica Airport is included in this retreat on the first and final day of the retreat. If you choose to arrive early or extend your trip after the retreat, you will be required to arrange your own transportation to/from our resort.  *
Required
By checking the box below, I agree to purchase the required trip insurance for this retreat. As a reminder, our non-refundable, non-transferable payment policies are firm and not negotiable under any circumstances. For every retreat, we require participants to purchase trip insurance to protect their investment, as the company and instructors are not responsible for any unforeseen issues, including individual, local, or global issues. "Cancel for any reason" insurance is highly recommended to protect your investment. Visit www.insuremytrip.com. Purchase your trip insurance within 21 days of paying your deposit for the best coverage and policy. If your flight has not been purchased at that time, you can add your flight to your policy after purchasing. *
Required
I will submit my $800 non-refundable deposit via Zelle bank transfer to the account  info@soulscaperetreats.com to secure my spot, and pay the remaining balance by September 12, 2026. All payments are non-refundable and non-transferable and cannot be negotiated under any circumstances. As a reminder, we require you to purchase trip insurance to protect your investment for any unforeseen issues. Please check below confirming your understanding of payments and insurance requirements. Note: If this retreat is sold out at the time you submit your application and deposit, we will refund your deposit in that instance and we can add you to our waitlist. *
Required
By checking the box below, I am confirming to follow all travel protocols that are in place at the time of retreat. If I do not follow required travel and health protocols, I understand that I will forfeit my place on this trip and know that all retreat payments are non-refundable and non-transferrable. *
Required
We are so excited for you to join this very special retreat! Do you have any questions for us at this time?
If any questions arise, contact us anytime at info@restandreturnretreats.com 
A copy of your responses will be emailed to the address you provided.
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