Upcoming Retreats

JOIN US

RETREAT APPLICATION & WELLBEING FORM

Thank you for your interest in joining a Returning to Wholeness retreat.

Our retreats are designed to be supportive, grounded, safe, and restorative experiences for all participants. Because meaningful personal experiences can arise during retreat spaces, we ask all attendees to complete this application form to help ensure the retreat is aligned and appropriate for your current wellbeing and needs.

All information shared is kept confidential and treated with care and respect.

First name

Last name

Emergency Contact Name & Number:

Phone

Birthday

Day

Month

Year

RETREAT INTENTIONS What is drawing you to this retreat? What are you hoping to receive or reconnect with during this experience? Have you attended retreats, healing, or personal development experiences before? Yes / No If yes, please briefly share:

HEALTH & WELLBEING Do you currently experience any mental health challenges that may impact your participation in a retreat environment? Yes / No If yes, please share anything you feel would be important for us to know to support your wellbeing safely

SAFETY & SUPPORT Retreats can sometimes bring forward emotional experiences, personal reflection, or periods of vulnerability. Do you feel emotionally and mentally stable enough to participate in a group retreat environment at this time? Yes / No

Do you understand that this retreat is designed to support wellbeing, reflection, rest, and personal growth, but is not a substitute for medical, psychiatric, or psychological treatment? Yes / No

Do you agree to take personal responsibility for communicating your needs, boundaries, and wellbeing during the retreat? Yes / No

GROUP AGREEMENTS Participants agree to respect confidentiality, honour boundaries and consent, communicate openly if support is needed, remain free from drugs or alcohol, and participate in a safe, respectful, and responsible way. Yes / No

Awaken. Align. Ascend.

Upcoming Retreats

RETREAT APPLICATION & WELLBEING FORM

Thank you for your interest in joining a Returning to Wholeness retreat.

All information shared is kept confidential and treated with care and respect.