Sacred

Sojourn

This is a safe space. Any information you share is confidential and helps us support your process, so please answer with total transparency.

We are grateful you are here. Cheers to your transformational journey!

Please note: When you hit submit below, all of your information will disappear and this means we have received your form.

● First & Last Name

● Email Address

● Occupation

● Emergency Contact Name

● Phone Number

● Birthday (MM/DD/YY)

● Postal Code

● Emergency Contact No.

● I am interested in the following 2024 event(s):

Hills of the Heart: Hocking Hills Retreat

Valley of the Heart: Peru Retreat & Machu Picchu Tour

Whispers of the Forest: North Carolina Retreat

Bloom: South African Safari & Retreat

● I am interested in the following 2025 event(s):

Earth, Wind & Fire: Costa Rica Retreat

Songs of the Valley: Peru Retreat & Machu Picchu Tour

● A non-refundable deposit is required. For remaining payment, I am seeking to:

Submit payment in full

Enroll in our standard payment plan (3% surcharge)

● How did you hear about us?

Online Search

Social Media Promotion

Friends & Family

Facilitator / Team Referral

● I fully intend to participate in classes and workshops, plus group activities or discussions.

Yes

● Do you have a mindfulness practice or work with healing modalities? This is not limited to yoga and/or meditation.

● Do you have any dietary restrictions or food allergies?

● Do you have any medical conditions or other allergies?

● Have you attended a retreat or spiritual gathering before?

Yes

If so, what was it like?

● In 3-7 sentences, please tell us about yourself and what is calling you to this experience.

I declare the information provided is accurate and complete.

Thank you so much for submitting! We will contact you soon.

Your form was submitted. Big blessings!