Retreat Application Form

Please fill out the questions below so we can learn more about you, your room preference, and all information needed to join the retreat.

We will contact you once your application is reviewed to place your nonrefundable deposit.

(payments through Zelle or Venmo)

First name

Last name

Phone (include 1 then number)

Date of birth

Gender

Where will you be traveling from

Will you be traveling with a friend / family member / partner? (ensure all attendees complete submission)

If traveling with a friend / family member / partner please list their name(s) so we can help with grouping your room

Room Selection (SINGLE SOLD OUT)

SOLD OUT Single Premium Occupancy $2,800 ($500 deposit upon confirmation / remainder due by March 21st) or $2,700 early bird special if paid in full by February 21st

Double occupancy $1,925 per person ($500 deposit per person upon confirmation / remainder due by March 21st) or $1,825 per person early bird special if paid in full by February 21st

Triple occupancy rates and availability upon request

For those traveling solo and needing to be paired in a shared room please let us know

Existing Medical Conditions / Injuries

Dietary Restrictions / Food Allergies

Tell us about you!

Namaste by the Waves