Retreat Application

Welcome to the first step toward joining us in Nicaragua!

We want to know more about you! Fill out and submit this brief form and Ashley will be in communication with you.

Name

First Name

Last Name

Email

Phone

(###)

###

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Pronouns

What is your primary reason for attending this retreat?

On a scale of 1 - 10 (10 being highest), how would you rate your ability to authentically express yourself in life? What number would you desire to be living at?

What excites you about this opportunity?

What are some of your goals for 2025?

Please share a bit about your yoga experience and level of proficiency.

(Though we will be practicing daily, you do not need to be an experienced yogi to attend this retreat)

Do you have any reservations or concerns about this experience?

We are invested in creating a safe space for all members of this retreat. This retreat welcomes all in the LGBTQIA+ community and allies. How does this resonate with you?

Is there anything else your facilitator should know about you and any healing journeys you've been on?

This can also be shared in person, in a discovery call, or at a later date.